Hemodialysis Delivery System
Acid/Base Balance
What three symptoms would alert you that a patient's target weight may have to be increased?
Why are ‘thirst control and limiting intradialytic weight gains’ a shared responsibility between the healthcare team and the patient?
Caregivers can contribute to sodium loading during dialysis causing increased thirst and fluid intake between treatments.
When assessing the AVF: A whistle is an indication of a __________ stenosis, a hammer pound is an indication of a stenosis.
outlow, inflow
Why is it important that we draw lab tubes in the correct order?
Because some tubes have additives.
What is the acceptable test result when verifying the absence of residual bleach?
Less than or equal to 0.5ppm
What three symptoms would alert you that a patient’s target weight may have to be decreased?
Hypertension, peripheral edema, congestion in lungs, neck vein distention
An intradialytic weight gain (IDWG) of how much would be considered excessive?
Greater than 5% of target weight
How many weeks does it take for cannulation sites to heal?
2 weeks
What precautions must be used when handling and packaging lab specimen?
Universal precautions
When are dialysate conductivity and pH testing required to be performed?
Is it within the scope of practice for a PCT to document the severity of a patient's edema, for example as +3?
No
The maximum ultra-filtration (UF) rate should not exceed ____ because it may lead to hypotensive episodes which increase the risk of organ stunning or mortality.
13mL/kg/hr
Why are patients in a supine position when accessing the catheter
Reduce incidence of Air Embolus
What is an acceptable test result when testing for the absence of peracetic acid?
A level of less than or equal to 1ppm
When a patient has an irregular heartbeat is the BP accurate?
No
You must be vigilant in watching for air in the blood lines
The patient is using a CVC for dialysis and has a new arteriovenous fistula (AVF) present in their lower arm.
What observation/assessment should be performed for the AVF?