All ESRD patients should have this before bedtime.
What is bedtime snack
100
****100 extra points if a US answers this question****
finger stick times for ESRD patients
What is AC/HS, 0300hrs and prn
100
These are the two labs needed prior to starting Ferrilicet protocol.
What are Ferriten level and Iron Saturation
100
This is the frequency dialysis accesses should be assessed and documented on.
What is at least ONCE A SHIFT
100
This is done if the level of phosphorus is <3.
What is holding phosphorus binders
200
OJ, prune juice, gatorade, melons, bananas, citrus fruit are high in this _____ and should be avoided by ESRD patients
What is potassium
200
An ESRD patient's glucose can drop quickly so it is good to be cautious of an finger stick less than _____.
What is <100
200
the nurse must stop and confirm dose of ferrlicit if the patient's ferritin levels are this high.
What is a Ferritin level of >800
200
******100 bonus points if CNA answers this question****
You should never put blood pressure cuffs, arm bands, tourniquets on these extremities
What is the extremities with an active dialysis access
200
because a low level of potassium is not the same for an ESRD patient, the MD must be contacted if the potassium level is equal to or less than this value
What is a potassium level of <3.2
300
Is a typical fluid restrictions for ESRD patients.
What is 1500ml
300
half dose of sliding scale insulin should be given for this specific FSBS time.
What is the bedtime finger stick
300
If the nurse is unable to confirm in the computer that the patient HAS recieved ferrlicit before then this must be done
What is test dose of 25mg.
300
This is what needs to be done if a PD catheter is ever found uncapped and exposed to the enviroment.
What is cover with sterile dressing and tape, notify renal charge nurse and nephrologist immediately
300
MD needs to be contacted if the patients magnesium level is less than this.
What is a magnesium level of <2.0
400
****200 bonus points if a CNA or US answers this question*****
orange juice, bananas, tomatoes,yogurt, cheese, dairy products, pepsi, dark sodas, saltine crackers,chips, broth,peanut butter
What are snacks a you should not give and ESRD patient.
400
Unless specifically ordered sliding scale insulin should not be given at this finger stick time.
What is 0300hrs
400
This is the fastest rate ferrilicit may be given
What is 12.5mg/min
400
this is where hemodialysis access assement is documented.
What is the hemodialysis assessment DI
400
subq EPO is held if the Hgb is greater than this level
What is >13
500
should never be given for low blood sugar
What is orange juice
500
To treat hypoglycemia the nurse should start this kind of juice and the follow it with this type of snack.
What is apple or cranberry juice and more complex carbohydrate or higher protein snack
500
This is the iron saturation level that is needed to preceed with the ferritin protocol, otherwise the patient will need a loading dose if low and if high the nurse will need to contact the MD.
What is Iron saturation of 20-50%
500
These symptoms distal to the dialysis access may indicate steal syndrome, which is a surgical EMERGENCY!
What is CMS abnormalities, (severe coldness of skin, pain, tingling mottling, dusky change in color of skin)
500
this electrolyte is often high in ESRD patients but is low in those patients with paritoneal dialysis