Final Version of Davita test
what treatment factors decrease K in the Kt/v to decrease? Ans- not waiting 3-5 minutes after heparin,
decreasing BFR, DFR, and BVP
what factors influence "V" in Kt/v Ans- accurate data entry by nurses in snappy, sex age, weight, and
amputation
what are the needle gauges and prescribed blood flow rates? Ans- 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? Ans- 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 Ans- not waiting the full 15 seconds
What is important when monitoring weight and BP in AKI patients? Ans- keep patients wet (hydrated)
and avoid hypotensive episodes = cause renal ischemia
What do you need to consider in regards to CVCs? Ans- 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? Ans- we need to know about
possible problems during data collection and assessment
What is the role of the PCT prior to tx initiation? Ans- 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 Ans- loose BP--> high reading
,tight BP --> low reading
why is it so bad to squeeze the BP cuff if its connected to the machine? Ans- it can damage the internal
BP mechanism
Why is it so important that we document in the medical record? Ans- it provides data for continuity and
planning of care
when do pre-treatment data collection and assessment take place? Ans- collection: before tx
assessment: w/in 1 hr if pt is stable
when is post-treatment data collection and assessment performed? Ans- post treatment-- not before
treatment or when they are disconnected
what are the consequences of poor or incomplete documentation Ans- can open attack on your care
What are the six items needed in charting meds? Ans- 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? Ans- who
what
when
where
why
how
, What are the 4 consequences of sodium loading during dialysis? Ans- 1. increased thirst
2. increased fluid intake
3. increased intradialytic weight gain = htn
4. increased UFR
what is the purpose of UF profiling? Ans- change the way fluid is remodeled during the tx and allows for
vascular refilling
what are the consequences of hypovolemia during tx? Ans- 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? Ans- 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? Ans- 42 degrees C
What do we do in a power outage? Ans- 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? Ans- kink in tubing, clotting in venous drip chamber,
infiltration, venous stenosis
what are the risks of doing things "your way" and not the P&P way? Ans- it can lead to civil liabiliy
what makes dialysis pts more susceptible to healthcare acquired infections? Ans- prolonged access to
pts blood, and immunocompramised
why are dialysis pts at an increased risk for acquiring HAIs at the facility? Ans- contact transmission
what is the most common transmission route for HAIs Ans- contact transmission--> hands
what treatment factors decrease K in the Kt/v to decrease? Ans- not waiting 3-5 minutes after heparin,
decreasing BFR, DFR, and BVP
what factors influence "V" in Kt/v Ans- accurate data entry by nurses in snappy, sex age, weight, and
amputation
what are the needle gauges and prescribed blood flow rates? Ans- 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? Ans- 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 Ans- not waiting the full 15 seconds
What is important when monitoring weight and BP in AKI patients? Ans- keep patients wet (hydrated)
and avoid hypotensive episodes = cause renal ischemia
What do you need to consider in regards to CVCs? Ans- 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? Ans- we need to know about
possible problems during data collection and assessment
What is the role of the PCT prior to tx initiation? Ans- 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 Ans- loose BP--> high reading
,tight BP --> low reading
why is it so bad to squeeze the BP cuff if its connected to the machine? Ans- it can damage the internal
BP mechanism
Why is it so important that we document in the medical record? Ans- it provides data for continuity and
planning of care
when do pre-treatment data collection and assessment take place? Ans- collection: before tx
assessment: w/in 1 hr if pt is stable
when is post-treatment data collection and assessment performed? Ans- post treatment-- not before
treatment or when they are disconnected
what are the consequences of poor or incomplete documentation Ans- can open attack on your care
What are the six items needed in charting meds? Ans- 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? Ans- who
what
when
where
why
how
, What are the 4 consequences of sodium loading during dialysis? Ans- 1. increased thirst
2. increased fluid intake
3. increased intradialytic weight gain = htn
4. increased UFR
what is the purpose of UF profiling? Ans- change the way fluid is remodeled during the tx and allows for
vascular refilling
what are the consequences of hypovolemia during tx? Ans- 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? Ans- 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? Ans- 42 degrees C
What do we do in a power outage? Ans- 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? Ans- kink in tubing, clotting in venous drip chamber,
infiltration, venous stenosis
what are the risks of doing things "your way" and not the P&P way? Ans- it can lead to civil liabiliy
what makes dialysis pts more susceptible to healthcare acquired infections? Ans- prolonged access to
pts blood, and immunocompramised
why are dialysis pts at an increased risk for acquiring HAIs at the facility? Ans- contact transmission
what is the most common transmission route for HAIs Ans- contact transmission--> hands
