LECCHRIS

16,000 lbs - ANSWER Registered as having a gross weight of at least 26,000 lbs - ANSWER Registered as having a gross weight of no more than Transport passengers and property for hire - ANSWER Endorsement provides the ability to

How many years do violation points stay active on your driver's record? - ANSWER 2 years after conviction date What BAC (blood alcohol content) will get your license suspended for 180 days? - ANSWER 0.8% BAC

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Your patient complaints of dry itchy skin. You would advise her to - ANSWER Use hyper-fatted soaps and lotions If a patient presents with dialysis associated pericarditis, treatment ordered by the physician will likely include more frequent dialysis and - ANSWER Heparin restriction to prevent bleeding into the pericardium and tamponade What does Chronic Kidney Disease- Mineral and Bone Disorder (CKD-MBD) lead to? - ANSWER Abnormalities in Ca, PO4, PTH, and Vitamin D metabolism with soft ti...

Renin and Erythropoietin secretion, activation of vitamins D: Are these Excretory or Endocrine functions of the kidney? - ANSWER Endocrine LVH leads to - ANSWER - Intradialytic hypotention - Ischemic heart disease - Arrhythmias - Myocardial infarction - Sudden death

The four indicators of optimal nutrition status - ANSWER 1. Albumin greater than or equal to 4 2. Stable target weight 3. Adequate fat stores 4. Appropriate appetite and intake Importance of protein - ANSWER - maintains health - helps fight infection - prevents anemia - builds/maintains muscle - heals wounds Importance of sodium and negative effects of sodium loading - ANSWER -Sodium helps regulate body fluid and maintains balance -Negative: 1. excessive thirst

Attempting to remove a large amount of fluid weight gain from the patient: - ANSWER Can lead to hypovolemia during the treatment which is associated with an increased mortality rate When sodium loading occurs during the dialysis treatment: - ANSWER It leads to an increase in thirst and larger fluid weight gains with hypertension between treatments and can contribute to headaches after the treatment How long before initiating the hemodialysis treatment should the initial loading dose of hep...

What does DQI stand for? - ANSWER DaVita Quality Index What is the purpose of DQI? - ANSWER It is a score/report *Create a focus on patient outcomes that will affect patient health* How do current outcomes affect our patients? example: peritonitis trends going up, implementing monthly infection quiz to decrease What does CMT stand for? - ANSWER Clinical Management Tool

Cardiac Arrest: - ANSWER Definition: Cessation of heart beat. Signs/Symptoms: Absence of pulse, lack of respiration, unresponsiveness Interventions:Assess ABC's, get help, CPR, return blood, keep access open, call EMS, maintain patency of needles or CVC ports with NS Angina - ANSWER Definition: Chest pain or discomfort due to Coronary Heart Disease. Occurs when heart muscle doesn't get as much blood as it needs. May also feel discomfort in neck, jaw, shoulder, back or arm. Uncomfo...

Chlorine/Chloramine testing: - ANSWER When: R/O runs 15 mins before patient shift every 4 hours Where: After Primary carbon tank sample port Acceptable result: Less than or equal to 0.1 mg/L Action if results are too high post primary tank: Repeat the test Define the term AKI - ANSWER - Term incorporates a wide spectrum of kidney issues - Includes acute kidney failure as well as less catastrophic kidney function changes - May dialyze in an out-patient facility until kidney function recov...