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Bonent exam Questions and Answers 100% Pass

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Bonent exam Questions and Answers 100% Pass In center hemo must be done - ANSWER-3x a week for about 4 hours Cons of in center HD - ANSWER-Most limitation on Diet, fluid than other modalities Requires the most medication Most symptoms Patients who run 4 hour tx - ANSWER-Are 30% less likely to...

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  • November 10, 2024
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Bonent exam Questions and Answers

100% Pass


In center hemo must be done - ANSWER✔✔-3x a week for about 4 hours


Cons of in center HD - ANSWER✔✔-Most limitation on Diet, fluid than other modalities


Requires the most medication


Most symptoms


Patients who run 4 hour tx - ANSWER✔✔-Are 30% less likely to die than pts who run shorter times


Each 30 mins extra of tx increase life by 7%


Patients are 50% more likely to die after - ANSWER✔✔-2 day no treatment weekend, the last 12 hours of

the 2 days the risk of death triples


diastolic blood pressure - ANSWER✔✔-When the heart is at rest.


Benefits of nocturnal in center - ANSWER✔✔-You get 2x as many txs as standard because it is longer and

more gentle with fluid removal


Rarely cramp


Easy on heart


Fewer limitations on food and drink


Free days


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72% better survival rate than standard in center


You check blood pressure with - ANSWER✔✔-Stethoscope and sphygmomanometer


Nocturnal in center hemo must be done - ANSWER✔✔-3x a weeks about 8 hours per tx


If BP site is below the heart.... - ANSWER✔✔-The reading will be to high


Benefits of nocturnal home hemo - ANSWER✔✔-Better protein level


Don't need binders


No fluid limits


Fewer symptoms


Less heart damage


Live as long as people who get a deceased kidney transplant


If BP site is above the heart.... - ANSWER✔✔-The reading will be to low


Home hemo must be done - ANSWER✔✔-3x a week 4-6 hours per tx


Benefits of PD - ANSWER✔✔-Can do alone at home or work


Only need 1-2weeks of training


Allows for a more normal diet


Allows pt to feel more normal


peritonitis - ANSWER✔✔-inflammation of the peritoneum, this can scar the peritoneum and make PD no

longer possible, can be avoided by doing a sterile exchange



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2 types of PD - ANSWER✔✔-Continuous ambulatory peritoneal dialysis (CAPD)


Automated peritoneal dialysis (APD)- uses cycled at night done 8-10 hours during sleep


During in center HD how much blood is outside of body at a time - ANSWER✔✔-1/2 cup


Short Daily Home Hemodialysis must be done - ANSWER✔✔-5-6days a week for the 2.5-4 hour per tx


a bp cuff that is too small or to loose will cause a - ANSWER✔✔-Higher reading


Nocturnal home hemomust be done - ANSWER✔✔-At home 3-7 nights a week 8 hours per tx


A no cuff that is to big for a patients arm ... - ANSWER✔✔-Lower reading


Why would someone want to do more HD than standard? - ANSWER✔✔-Longer or more frequent HD is

gentle and cause fewer symptoms and may help Pt live longer, home puts pt in charge


peritoneal dialysis - ANSWER✔✔-the lining of the peritoneal cavity acts as the filter to remove waste

from the blood through tiny blood vessels.


Placed in abdomen and sometimes chest wall


Dialysate sits in catheter for a few hours and excess water and waste flows from BV to the dialysate. The

dialysate is then drained and replaced. (Exchange)


Pt can use a cycle mahjne while they sleep


Can also be done by hand 4xa day and can be done anywhere.


In dialysis patients the reason BP drops during or close to the end of tx is because - ANSWER✔✔-The

total blood volume drops, from the water removal


regular respiration rate - ANSWER✔✔-12-16 breaths per minute


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In dialysis patients water may enter the lungs due to water weight gains this can cause - ANSWER✔✔-

Sob or trouble breathing


Payment for dialysis - ANSWER✔✔-Medicare pays for 80% of dialysis


Medicare makes rules a clinic must follow to provide coverage of tax.


Pt who don't have Medicare before CKD a pt must wait 3 months for it to cover in center but it will cover

home-hemo right away.


2011 change how they pay for dialysis and created a "bundle" (composite rate, labs,drugs and home

training)


Quality Incentive Program - ANSWER✔✔-Pay for performance, Cuts pay by 2% if measures aren't met.

(Kt/v and hemoglobin)


ESRD networks - ANSWER✔✔-Oversees quality of care, 18 mostly nonprofit organizations.


Renal physicians association(RPA) - ANSWER✔✔-1993 nephrologist made first clinical practice guidelines,

including minimum dose of HD , when to start and stop HD and care for kidney disease for pt not on HD


National Kidney Foundation (NKF) - ANSWER✔✔-1995, experts set guidelines for anemia, adequacy, and

vascular access


KDOQI - ANSWER✔✔-Kidney Disease Outcomes Quality Initiative, improves care and outcomes of all

people with kidney disease


Dialysis Outcomes and Practice Pattern Study - DOPPS - ANSWER✔✔-Help pts love longer by finding

patterns incenter that can be changed to improve outcome




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