ANSWERS| DISTICTION
What is the acronym for the five rights of medication administration Correct Answer:
T.R.A.M.P. Time, Routine, Amount, Medication, Patient
What is DaVita policy that allows dialysis technicians to administer these three medications
Correct Answer: Saline (0.9% Sodium Chloride),
Heparin, and Lidocaine
What is aseptic technique? Correct Answer: The method to protect against infection by
pathogenic microorganisms when preparing and administering medications
Medications containing a preservative must be discarded at what time after opening? Correct
Answer: 28 days
What's the time frame during which single dose medications should be prepared and
administered per DaVita P&P? Correct Answer: 4 hours
The most common method used to prevent clotting while the blood is in the extracorporeal
circuit Correct Answer: Anticoagulation with heparin 1000u/mL
What are Anticoagulation/Anticoagulants Correct Answer: Medicines that help prevent blood
clots, reduce chances of heart attacks and strokes
What are preservatives? Correct Answer: Sodium benzoate, EDTA, sorbic acid, and parabens.
What is the waiting time after the administration of initial heparin loading dose prior to initiation
of hemodialysis Correct Answer: 3 to 5 minutes
Clotting in the the dialyzer causes what change in venous pressure? Correct Answer: Venous
pressure to decrease
What acid concentrate that contains a smal amount of anticoagulant and can be used for patients
in whom heparin is contraindicated? Correct Answer: Citrasate or CitraPure
A frequent cause of prolonged bleeding post dialysis unrelated to the to the heparin dose Correct
Answer: Outflow stenosis
What is pulling back on the plunger? Correct Answer: Method to ascertain needle is not in blood
vessel when administering intradermal lidocaine
What is EMLA cream? Correct Answer: The topical skin anesthetic patients apply at home
, What is wiping off EMLA cream completely? Correct Answer: Method prior to cannulation to
prevent access infections when a patient has applied topical EMLA cream at home
What is prior to applying the Spray? Correct Answer: The appropriate time to clean the VA
cannulation sites when patients requests use of Topical Anesthetic Spray.
What is when there is blanching of the skin? Correct Answer: The sign that numbing has taken
effect and it is time to stop spraying Topical Anesthetic onto VA cannulation sites.
What is Epogen (Epoetin Alpha)? Correct Answer: Stimulates bone marrow to produce red
blood cells.
What is IV Iron (Venofer)? Correct Answer: Supports formation of red blood cells
What is Vitamin D analog (Hectorol, Zemplar, Calcitrol)? Correct Answer: Medication
indicated for the prevention of excessive parathyroid hormone production in dialysis patients
What is Cathflo Activase (Alteplase)? Correct Answer: Medication used to treat thrombosis-
related central venous catheter occlusion.
What is vancomycin? Correct Answer: Antibiotic that should be administered over a period of at
least 60 minutes
What are vitamins (Nephrocaps)? Correct Answer: Patients should take them after dialysis to
prevent those that are water soluble from being dialyzed out
What are phosphorus binders? Correct Answer: Calcium containing tums, PhosLo.
Non-Calcium containing: Renagel, Renvela, Fosrenol
What is Coumadin (warfarin)? Correct Answer: Is used to increase the clotting time in patients
with arrhythmias, prosthetic valves or clotting disorders
What is Milk of Magnesia? Correct Answer: Over-the-counter laxative can cause severe toxicity
in dialysis patients.
What are Cinacalcet (oral) and Parsabiv (IV)? Correct Answer: Two medications that Treat
secondary hyper parathyroid is by increasing the sensitivity of calcium sensing receptors
What is "Engerix-B"? Correct Answer: Vaccination series consists of four 40mcg doses at 0,1,2,
and 6 months
What is Hepatitis B Surface Antibody of equal or greater than 10mIU/ml Correct Answer:
Defines immunity after Hepatitis B vaccination
What is the pneumovax 23? Correct Answer: Indicated for active immunization against 23
serotypes contained in the vaccine