Adequacy of Dialysis
What does the t and the V stand for in Kt/V lab value and what are we checking for?
Checking for ‘Adequacy’, t=time, V=volume (the patient’s volume including any amputations)
Medications with preservatives must be discarded after how many days?
28 days
What is the maximum acceptable value for Total Chlorine?
</=0.1ppm
Hardness testing is done on water leaving the water softener what part of the treatment day?
End of day
A patient’s protein status is affected by nutritional and non-nutritional factors. What can you do to prevent a drop in your patients’ albumin?
Prevent healthcare associated infections (HAIs)
What do you reduce the blood flow rate to and how long do you wait to allow the arterial needle tubing and line to fill with non-recirculated blood for?
100ml/min for 15 seconds
All single use vials/ampules (without preservative) should be prepared and administered within how long?
Four hour period (unless state specific laws require otherwise)
If the first chlorine check is still positive what are your next steps?
Recheck 2nd chlorine port
Which is the primary device for purifying the water used in dialysis
Reverse osmosis
Foods high in phosphorus include:
a. Chocolate b. Dark pop/soda c. Milk products d. Legumes e. All of the above
e. all of the above
Where do you obtain specimens to verify the BUN measurement is performed on blood that has NOT yet been dialyzed?
The arterial blood line sample port
The hepatitis B surface antigen (HBsAg) for a patient susceptible to Hepatitis B should be tested.
How often do we check?
Every 30 minutes if 2nd port is negative
How do phosphate binders work?
They prevent the phosphorus in food from being absorbed when taken with meals
The Kt/V reading to be falsely high
What is the acceptable maximum # value for Water Hardness & Can we do dialysis treatments with hard water?
1.0 and yes we can dialyze safely with hard water
What are the most commonly prescribed medication used for treating individuals with Chronic Kidney Disease Mineral Bone Disorder?
Phosphate binder, Vit D (Calcitriol/Hectorol), and Cinacalcet
The RO must be running for how many minutes to ensure we don’t get a false positive or negative result?
15min