Answers 100% Pass
what treatment factors decrease K in the Kt/v to decrease? - Answer--not waiting 3-5
minutes after heparin, decreasing BFR, DFR, and BVP
what factors influence "V" in Kt/v - Answer--accurate data entry by nurses in snappy,
sex age, weight, and amputation
what are the needle gauges and prescribed blood flow rates? - Answer--they are
inversely related
17g 200-250
15g 250-350
15g 350-400
14 g 400 - 450
what is the procedure for post BUN lab draw? - Answer--if pt wants off early, still draw
the labs and educate patient about the risks. Redraw next time a pt runs full tx to show
pt difference
what lab draw mistakes would falsely increase Kt/V - Answer--not waiting the full 15
seconds
What is important when monitoring weight and BP in AKI patients? - Answer--keep
patients wet (hydrated) and avoid hypotensive episodes = cause renal ischemia
What do you need to consider in regards to CVCs? - Answer--follow P&P b/c the risk of
infection is so high
, Why is it important to know what caused a patients chronic renal failure? - Answer--we
need to know about possible problems during data collection and assessment
What is the role of the PCT prior to tx initiation? - Answer--assessment of pt if any
abnormal findings or if the pt is in an acute condition
what happens in the BP cuff is the wrong size - Answer--loose BP--> high reading
tight BP --> low reading
why is it so bad to squeeze the BP cuff if its connected to the machine? - Answer--it can
damage the internal BP mechanism
Why is it so important that we document in the medical record? - Answer--it provides
data for continuity and planning of care
when do pre-treatment data collection and assessment take place? -
Answer--collection: before tx
assessment: w/in 1 hr if pt is stable
when is post-treatment data collection and assessment performed? - Answer--post
treatment-- not before treatment or when they are disconnected
what are the consequences of poor or incomplete documentation - Answer--can open
attack on your care
What are the six items needed in charting meds? - Answer--1. med/dosage
2. date/time
3. route
4. reason (remember this!)
5. pt response
6. signature
What are the 5 Ws to be used when completing an AOR? - Answer--who
what
when
where
why
how