H2O
What pre-treatment component of the water treatment system is required to have a back up?
The Carbon Tank
Hepatitis B Positive patient's do not require an isolated patient station
False
Recent labs indicate the patient's KT/V is 1.0 and URR is 60.5. What is the significance of this result.
The patient is not getting enough cleaning and treatment should be changed
Personal protective gowns are only required to be worn on the treatment floor during cannulation procedures or during treatment
False
Medications used in treatment of secondary hyperparathyroidism are?
Calcijex, Zemplar, Sensipar
Bacterial exposure from water may cause?
A pyrogenic reaction
Lab values most frequently monitored for hyperparathyroidism include
calcium, phosphorus and Parathyroid hormone (PTH)
Patient exposure to chloramines during hemodialysis treatment may cause
Hemolysis
#1 way to keep from transferring germs from one patient to the next is?
Handwashing
Your patient is to receive 2000 units of heparin. The vial you are using is 1000u/ml heparin. How many ml's will you draw up for this patient?
2ml's
How often should water be tested for chlorine and chloramines
prior to each patient shift not to exceed q4hours
Hyperkalemia can lead to
Cardiac Arrest
What symptoms would indicate a need to increase the estimated dry weight
Hypotension and cramping
The absence of pathogens is called?
Asepsis
What medication is used to treat a low Hemoglobin/Hematrocrit?
Epogen, Aranesp
According to industry standards the total endotoxin count of dialysate shall not exceed
2EU/ml with an action level of 1.0
What lab tests are used to monitor anemia in the ESRD patient
Hemoglobin/hematocrit
A slow pulse of 54 beats/minute would indiace the patient has
Bradycardia
Pericarditis is a complication seen in renal failure patients that have which access?
catheter
Patient is complaining of itching and when you look at lab results you see that he has a high phosphorus level. What is one thing that you can reinforce to the patient?
Make sure the patient is taking his phosphorus binders when he eats.
According to industry standatds the total microbal content of dialysate should not exceed
200 CFU/ml with an action level of 100 CFU/ml
ESRD specific test such as BUN Creatinine show what
Adequacy of dialysis
A lot of your patient's have an elevated Aluminum level when labs are drawn. Where could the aluminum be coming from?
Water system
Patient arrives to clinic for treatment afebrile? Begins running a fever within 15 minutes of being on treatment. What is the most obvious cause?
Pyrogens
Patient is going to be stuck for the first time next treatment. They have received a tube of emla/lidocain cream. Explain to the patient how to apply and when.
Apply to fistula area in a thin layer. wrap area with saran wrap 30 minutes to 1 hour before treatment.