DaVita PCT Training Exam (Final Exam for STAR Program) with Complete Solutions
Question : What is adequacy?
Correct answer: -How well dialysis tx is working
-measured by green post BUN lab
Kt/V goal is 1.2 or 65%
Question : What affects Kt/V?
Correct answer: - time of tx
-frequency of tx -increasing BFR and DFR increase Kt/V
Question : Needle gauge sizes vs. BFR
Correct answer: - 17g=200-250
16g = 250-350
15g = 350-450
14g = 450 and ^
Question : procedure for post BUN lab draw
Correct answer: turn off UF
DFR to 300 decrease BFR to 100 ml/pm
WAIT 15 SEC.
draw from arterial line port
Question : What causes Kt/V to be falsely high?
Correct answer: if you take it before waiting the full 15 secs
Question : what causes kt/v to be falsely low?
Correct answer: if you wait longer than 15 sec to take it
Question : Consideration for pt with AKI
Correct answer: don't want them too dry; better to leave them
with a little extra fluid than to take too much off
Question : CKD vs AKI
Correct answer: CKD = longstanding disease to the kidneys
leading to renal failure AKI = abrupt decrease in renal function; kidney function can return but not at 100%...can also lead to CKD
Question : why is it important to know each pt primary dx?
Correct answer: so you know how to monitor and treat each pt
specifically
Question : what is a fever?
Correct answer: anything above 100 F or 2 degrees above
baseline temp
Question : What can cramping cause?
Correct answer: low bp (hypotension)
Question : normal chlorine check result
Correct answer: < 0.1 ppm
Question : what does chlorine in blood cause?
Correct answer: hemolysis
Question : how can you tell that hemolysis is occurring? what
do you do?
Correct answer: -blood is bright red (cherry kool-aid colored)
you would stop tx and NOT return pt blood