DaVita Dialysis PCT training: Module 1
- ANS - -----
AKI patients are at increased risk for which complications? - ANS - 1. Hypovolemia- a
state of low extracellular fluid volume, generally secondary to combined sodium and
water loss.
2. Hypotension- low blood pressure
Define the term AKI - ANS - Acute Kidney Injury
- Term incorporates a wide spectrum of kidney issues
- Includes acute kidney failure as well as less catastrophic kidney function changes
- May dialyze in an out-patient facility until kidney function recovers
Explain the acceptable hand hygiene technique when caring for a patient with active
Clostridioides difficile infection (C diff- bacterium that causes diarrhea and colitis (an
inflammation of the colon))? - ANS - Handwashing with soap and water per policy is
the only acceptable hand hygiene.
Explain the difference between AKI and CKD - ANS - 1. Eliminating the cause of the
AKI can often lead to the return of kidney functions
2. You cannot eliminate the cause of CKD which is HTN (high BP), Diabetes, genetic
disorders (PKD- Polycystic kidney disease)
Explain the HBV classification and state which test is performed monthly on HBV
susceptible patients. - ANS - 1. HBsAg: Hepatitis B surface Antigen- tested monthly
for susceptible pts and non-responders
2. HBsAb (Anti-HBs): Hepatitis B surface Antibody
3. HBcAb (Anti-HBc): Hepatitis B Core Antibody
, Following recirculation, how long can a dialyzer and blood lines be set up? - ANS - 2
hours
Fresenius VS B Braun machine - ANS - The manual conductivity value must match +/-
0.4 mS on the Fresenius (FMC) 2008K and K2 dialysis
delivery system displayed conductivity. Checking independent conductivity is NOT
required when
using the Fresenius 2008T or T BlueStar models.
The B Braun machine does not require manual
conductivity testing but conductivity must be verified on the 'ENDLF' machine screen.
Give 3 examples of pre-, intra-, and post-renal causes of AKI - ANS - Pre:
Obstruction, volume depletion, impaired cardiac functions
Intra:
1. Ischemic ATN (Acute tubular necrosis- ack of blood flow and oxygen to the kidney
tissues),
2. Sepsis (extreme response to infection),
3. SIRS Systemic inflammatory response syndrome (SIRS) is an exaggerated defense
response of the body to a noxious stressor (infection, trauma, surgery, acute
inflammation, ischemia or reperfusion, or malignancy) to localize and then eliminate the
endogenous or exogenous source of the insult.
The rest include: Septic shock
Anaphylaxis Drugs, Goodpasture Syndrome, Acute Glomerulonephritis, Trauma, Open
Heart Surgery
Post:
Obstruction, Oliguric (low urine output), Bladder rupture, Pregnancy
How can you tell when an area or sink is clean or dirty in your facility? - ANS - It's
labeled with a "clean" or "dirty" sign
How do surveyors verify teammates have completed infection control training and
education? - ANS - Documentation of infection control training in teammate's files or
transcript
- ANS - -----
AKI patients are at increased risk for which complications? - ANS - 1. Hypovolemia- a
state of low extracellular fluid volume, generally secondary to combined sodium and
water loss.
2. Hypotension- low blood pressure
Define the term AKI - ANS - Acute Kidney Injury
- Term incorporates a wide spectrum of kidney issues
- Includes acute kidney failure as well as less catastrophic kidney function changes
- May dialyze in an out-patient facility until kidney function recovers
Explain the acceptable hand hygiene technique when caring for a patient with active
Clostridioides difficile infection (C diff- bacterium that causes diarrhea and colitis (an
inflammation of the colon))? - ANS - Handwashing with soap and water per policy is
the only acceptable hand hygiene.
Explain the difference between AKI and CKD - ANS - 1. Eliminating the cause of the
AKI can often lead to the return of kidney functions
2. You cannot eliminate the cause of CKD which is HTN (high BP), Diabetes, genetic
disorders (PKD- Polycystic kidney disease)
Explain the HBV classification and state which test is performed monthly on HBV
susceptible patients. - ANS - 1. HBsAg: Hepatitis B surface Antigen- tested monthly
for susceptible pts and non-responders
2. HBsAb (Anti-HBs): Hepatitis B surface Antibody
3. HBcAb (Anti-HBc): Hepatitis B Core Antibody
, Following recirculation, how long can a dialyzer and blood lines be set up? - ANS - 2
hours
Fresenius VS B Braun machine - ANS - The manual conductivity value must match +/-
0.4 mS on the Fresenius (FMC) 2008K and K2 dialysis
delivery system displayed conductivity. Checking independent conductivity is NOT
required when
using the Fresenius 2008T or T BlueStar models.
The B Braun machine does not require manual
conductivity testing but conductivity must be verified on the 'ENDLF' machine screen.
Give 3 examples of pre-, intra-, and post-renal causes of AKI - ANS - Pre:
Obstruction, volume depletion, impaired cardiac functions
Intra:
1. Ischemic ATN (Acute tubular necrosis- ack of blood flow and oxygen to the kidney
tissues),
2. Sepsis (extreme response to infection),
3. SIRS Systemic inflammatory response syndrome (SIRS) is an exaggerated defense
response of the body to a noxious stressor (infection, trauma, surgery, acute
inflammation, ischemia or reperfusion, or malignancy) to localize and then eliminate the
endogenous or exogenous source of the insult.
The rest include: Septic shock
Anaphylaxis Drugs, Goodpasture Syndrome, Acute Glomerulonephritis, Trauma, Open
Heart Surgery
Post:
Obstruction, Oliguric (low urine output), Bladder rupture, Pregnancy
How can you tell when an area or sink is clean or dirty in your facility? - ANS - It's
labeled with a "clean" or "dirty" sign
How do surveyors verify teammates have completed infection control training and
education? - ANS - Documentation of infection control training in teammate's files or
transcript
