CCHT Exam Part A
What are some of the responsibilities and requirements of the medical director of a
dialysis facility? - answer Being knowledgeable of and responsible for the integrity of
the water treatment system in the facility
Prior to beginning dialysis, what must the physician order include? - answer Specific
dialyzer, BFR, Duration
To sit for the CCHT-A exam, the tech must have what? - answer Hold another
national certification such as CCHT, and have worked at least 5,000 hours as a hemo
tech
What abilities are required of a dialysis tech? - answer Some understanding of
anat/phy and pathophys of CKD, full understanding of the principles of dialysis and tx
complications, math skills
What certification program offers the dialysis tech the most cognitive content related to
water tx principles? - answer Cert biomedical nephrology technology
What consents are needed for dialysis? - answer 1 for treatment, 1 for access
procedures
If a patient decides to terminate dialysis, what should the staff do? - answer Realize
it is well within the pts right to choose termination.
Who was the first person to use the term 'dialysis'? - answer Thomas Graham
What was the primary anticoagulant used in the first artificial kidney? - answer
Hirudin
Dr Kolff created the first bio-compatible (rotating drum) dilyzer. What material was used
to construct the hollow tubes? - answer cellophane
The first AV shunt for CKD was placed... - answer externally, using Teflon tubes
Which US President signed the bill that allowed Medicare coverage for CKD tx? -
answer Nixon
In 1989, the FDA approved a drug that diminished the need for blood transfusions in
CKD - answer Epogen (mircera)
, An electrolyte is a substance that dissolves in water to form - answer Ionized
particles
What happens to a pt is the dialysate contains too much sodium? - answer Fluid
leaves the cells and they shrivel, the pt will get hypotensive, thirsty and get a headache
With osmosis, water moves from areas of.. - answer low concentration to areas of
high concentration of solutes
Buffers minimize the pH changes when an acid or a base is added to a solution. What is
the major plasma buffer in the body? - answer Bicarbonate
Kidney failure causes retention of hydrogen ions. What is the result? - answer
Metabolic acidosis
Which of these pt populations has the lowest proportion of body water? - answer
Adult females
The vasa recta capillaries surrounds the loop of Henle nephrons and play a major role
in... - answer Concentration of urine as it moves through the tubules
In the formation of urine, what action is occurring in step 2? - answer Water and
other dissolved substances move from the tubules into the blood in the peritubular
capillaries.
The GFR is the amount of filtrate produced by the kidneys per minute. What is GFR
dependent on? - answer Sufficient blood circulation to the glomerulus , and
maintenance of normal filtration pressures
Blood urea levels are influenced by many factors. Decreased levels may result from: -
answer Low dietary protein intake, overhydration
At the conference 'Kidney Disease: Improving Global Outcomes on CKD' it was
recommended that stage 3 be divided into 3a and 3b. What is the recommended GFR
for 3b? - answer 30-44mL/min/1.73m^2
The NKF recommends that all individuals be assessed for increased risk for developing
CKD. Which of these laboratory values should be included in said eval? - answer
Creatinine
When is a pt considered to be in stage 5 CKD? - answer When the pt requires
maintenance dialysis for survival
A patient with a diagnosis of nephrosclerosis may exhibit... - answer Blood in urine,
proteinuria, uncontrolled hypertension
What are some of the responsibilities and requirements of the medical director of a
dialysis facility? - answer Being knowledgeable of and responsible for the integrity of
the water treatment system in the facility
Prior to beginning dialysis, what must the physician order include? - answer Specific
dialyzer, BFR, Duration
To sit for the CCHT-A exam, the tech must have what? - answer Hold another
national certification such as CCHT, and have worked at least 5,000 hours as a hemo
tech
What abilities are required of a dialysis tech? - answer Some understanding of
anat/phy and pathophys of CKD, full understanding of the principles of dialysis and tx
complications, math skills
What certification program offers the dialysis tech the most cognitive content related to
water tx principles? - answer Cert biomedical nephrology technology
What consents are needed for dialysis? - answer 1 for treatment, 1 for access
procedures
If a patient decides to terminate dialysis, what should the staff do? - answer Realize
it is well within the pts right to choose termination.
Who was the first person to use the term 'dialysis'? - answer Thomas Graham
What was the primary anticoagulant used in the first artificial kidney? - answer
Hirudin
Dr Kolff created the first bio-compatible (rotating drum) dilyzer. What material was used
to construct the hollow tubes? - answer cellophane
The first AV shunt for CKD was placed... - answer externally, using Teflon tubes
Which US President signed the bill that allowed Medicare coverage for CKD tx? -
answer Nixon
In 1989, the FDA approved a drug that diminished the need for blood transfusions in
CKD - answer Epogen (mircera)
, An electrolyte is a substance that dissolves in water to form - answer Ionized
particles
What happens to a pt is the dialysate contains too much sodium? - answer Fluid
leaves the cells and they shrivel, the pt will get hypotensive, thirsty and get a headache
With osmosis, water moves from areas of.. - answer low concentration to areas of
high concentration of solutes
Buffers minimize the pH changes when an acid or a base is added to a solution. What is
the major plasma buffer in the body? - answer Bicarbonate
Kidney failure causes retention of hydrogen ions. What is the result? - answer
Metabolic acidosis
Which of these pt populations has the lowest proportion of body water? - answer
Adult females
The vasa recta capillaries surrounds the loop of Henle nephrons and play a major role
in... - answer Concentration of urine as it moves through the tubules
In the formation of urine, what action is occurring in step 2? - answer Water and
other dissolved substances move from the tubules into the blood in the peritubular
capillaries.
The GFR is the amount of filtrate produced by the kidneys per minute. What is GFR
dependent on? - answer Sufficient blood circulation to the glomerulus , and
maintenance of normal filtration pressures
Blood urea levels are influenced by many factors. Decreased levels may result from: -
answer Low dietary protein intake, overhydration
At the conference 'Kidney Disease: Improving Global Outcomes on CKD' it was
recommended that stage 3 be divided into 3a and 3b. What is the recommended GFR
for 3b? - answer 30-44mL/min/1.73m^2
The NKF recommends that all individuals be assessed for increased risk for developing
CKD. Which of these laboratory values should be included in said eval? - answer
Creatinine
When is a pt considered to be in stage 5 CKD? - answer When the pt requires
maintenance dialysis for survival
A patient with a diagnosis of nephrosclerosis may exhibit... - answer Blood in urine,
proteinuria, uncontrolled hypertension
