Final Version of Davita test
what treatment factors decrease K in the Kt/v to decrease? - ✔not waiting 3-5 minutes
after heparin, decreasing BFR, DFR, and BVP
what factors influence "V" in Kt/v - ✔accurate data entry by nurses in snappy, sex age,
weight, and amputation
what are the needle gauges and prescribed blood flow rates? - ✔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? - ✔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 - ✔not waiting the full 15 seconds
What is important when monitoring weight and BP in AKI patients? - ✔keep patients wet
(hydrated) and avoid hypotensive episodes = cause renal ischemia
What do you need to consider in regards to CVCs? - ✔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? - ✔we need to
know about possible problems during data collection and assessment
What is the role of the PCT prior to tx initiation? - ✔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 - ✔loose BP--> high reading
tight BP --> low reading
why is it so bad to squeeze the BP cuff if its connected to the machine? - ✔it can
damage the internal BP mechanism
Why is it so important that we document in the medical record? - ✔it provides data for
continuity and planning of care
when do pre-treatment data collection and assessment take place? - ✔collection: before
tx
, assessment: w/in 1 hr if pt is stable
when is post-treatment data collection and assessment performed? - ✔post treatment--
not before treatment or when they are disconnected
what are the consequences of poor or incomplete documentation - ✔can open attack on
your care
What are the six items needed in charting meds? - ✔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? - ✔who
what
when
where
why
how
What are the 4 consequences of sodium loading during dialysis? - ✔1. increased thirst
2. increased fluid intake
3. increased intradialytic weight gain = htn
4. increased UFR
what is the purpose of UF profiling? - ✔change the way fluid is remodeled during the tx
and allows for vascular refilling
what are the consequences of hypovolemia during tx? - ✔attempting to remove a lot of
fluid --> hypovolemia during tx --> loss of renal function, ischemia, and increased
mortality rate
what must the machine's conductivity and pH reading supposed to be? - ✔machine and
manual conductivity: w/in +/-0.4
pH range: 6.9 - 7.6, measured to verify acid/base balance is in acceptable range
at what temperature does hemolysis occur? - ✔42 degrees C
What do we do in a power outage? - ✔remove venous line from air detector, clamp,
before starting hand crank and be diligent in watching for air in blood lines
what causes a high venous pressure alarm? - ✔kink in tubing, clotting in venous drip
chamber, infiltration, venous stenosis
what treatment factors decrease K in the Kt/v to decrease? - ✔not waiting 3-5 minutes
after heparin, decreasing BFR, DFR, and BVP
what factors influence "V" in Kt/v - ✔accurate data entry by nurses in snappy, sex age,
weight, and amputation
what are the needle gauges and prescribed blood flow rates? - ✔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? - ✔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 - ✔not waiting the full 15 seconds
What is important when monitoring weight and BP in AKI patients? - ✔keep patients wet
(hydrated) and avoid hypotensive episodes = cause renal ischemia
What do you need to consider in regards to CVCs? - ✔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? - ✔we need to
know about possible problems during data collection and assessment
What is the role of the PCT prior to tx initiation? - ✔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 - ✔loose BP--> high reading
tight BP --> low reading
why is it so bad to squeeze the BP cuff if its connected to the machine? - ✔it can
damage the internal BP mechanism
Why is it so important that we document in the medical record? - ✔it provides data for
continuity and planning of care
when do pre-treatment data collection and assessment take place? - ✔collection: before
tx
, assessment: w/in 1 hr if pt is stable
when is post-treatment data collection and assessment performed? - ✔post treatment--
not before treatment or when they are disconnected
what are the consequences of poor or incomplete documentation - ✔can open attack on
your care
What are the six items needed in charting meds? - ✔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? - ✔who
what
when
where
why
how
What are the 4 consequences of sodium loading during dialysis? - ✔1. increased thirst
2. increased fluid intake
3. increased intradialytic weight gain = htn
4. increased UFR
what is the purpose of UF profiling? - ✔change the way fluid is remodeled during the tx
and allows for vascular refilling
what are the consequences of hypovolemia during tx? - ✔attempting to remove a lot of
fluid --> hypovolemia during tx --> loss of renal function, ischemia, and increased
mortality rate
what must the machine's conductivity and pH reading supposed to be? - ✔machine and
manual conductivity: w/in +/-0.4
pH range: 6.9 - 7.6, measured to verify acid/base balance is in acceptable range
at what temperature does hemolysis occur? - ✔42 degrees C
What do we do in a power outage? - ✔remove venous line from air detector, clamp,
before starting hand crank and be diligent in watching for air in blood lines
what causes a high venous pressure alarm? - ✔kink in tubing, clotting in venous drip
chamber, infiltration, venous stenosis
