Podcast
Questions and Answers
How often is AAMI Chemical Analysis of water used for hemodialysis tested?
How often is AAMI Chemical Analysis of water used for hemodialysis tested?
annually
Which approach should the dialysis technician use when interacting with a blind 58-year-old patient?
Which approach should the dialysis technician use when interacting with a blind 58-year-old patient?
- Avoid verbal communication.
- Speak loudly to grab the patient's attention.
- Describe the activities in the immediate environment. (correct)
- Lead the patient by the arm without warning.
What should the dialysis technician do when observing a drop of blood on a patient's hemodialysis machine?
What should the dialysis technician do when observing a drop of blood on a patient's hemodialysis machine?
- Wait for a supervisor to check it.
- Continue with treatment without addressing it.
- Ignore it, it's not a big deal.
- Clean the machine surface immediately. (correct)
Which of the following poses an environmental risk on the treatment floor?
Which of the following poses an environmental risk on the treatment floor?
In addition to politely declining a patient's invitation to dinner, what should the dialysis technician do?
In addition to politely declining a patient's invitation to dinner, what should the dialysis technician do?
What connects an artery to a vein?
What connects an artery to a vein?
What marker is used to determine the middle molecule clearance of a dialyzer?
What marker is used to determine the middle molecule clearance of a dialyzer?
What does a mixed-bed DI tank contain?
What does a mixed-bed DI tank contain?
A nephron is made up of?
A nephron is made up of?
What should the technician suspect if there is swelling distal to the venous needle site and rising venous pressure?
What should the technician suspect if there is swelling distal to the venous needle site and rising venous pressure?
What syndrome is a patient receiving their first dialysis treatment prone to?
What syndrome is a patient receiving their first dialysis treatment prone to?
Which of the following foods is highest in potassium?
Which of the following foods is highest in potassium?
What does a slow pulse of 54 beats per minute indicate?
What does a slow pulse of 54 beats per minute indicate?
Why is a dialysis technician required to be certified?
Why is a dialysis technician required to be certified?
What does a rise in transmembrane pressure in a low flux dialyzer during hemodialysis indicate?
What does a rise in transmembrane pressure in a low flux dialyzer during hemodialysis indicate?
If a teammate asks you to document normal saline he just gave to a patient, what should you do?
If a teammate asks you to document normal saline he just gave to a patient, what should you do?
Why can a true aneurysm be dangerous?
Why can a true aneurysm be dangerous?
What should the technician seek to answer if BUN levels were lower pre-dialysis than post-dialysis?
What should the technician seek to answer if BUN levels were lower pre-dialysis than post-dialysis?
A rapid pulse of 104 beats per minute indicates that the patient has?
A rapid pulse of 104 beats per minute indicates that the patient has?
A patient's dry weight is 154.0 lb (70 kg). The patient's pre-treatment weight is 158.4 lb (72 kg). For a four-hour treatment, how many mL/hour must the patient lose to reach dry weight?
A patient's dry weight is 154.0 lb (70 kg). The patient's pre-treatment weight is 158.4 lb (72 kg). For a four-hour treatment, how many mL/hour must the patient lose to reach dry weight?
What is the standard for the total microbial count of dialysate according to AAMI?
What is the standard for the total microbial count of dialysate according to AAMI?
What electrolyte's abnormal levels can cause cardiac arrhythmias and even death?
What electrolyte's abnormal levels can cause cardiac arrhythmias and even death?
What are acceptable interdialytic weight gains?
What are acceptable interdialytic weight gains?
According to AAMI, what is the standard level for endotoxin levels?
According to AAMI, what is the standard level for endotoxin levels?
By what date must all dialysis technicians be certified according to the new Conditions for Coverage?
By what date must all dialysis technicians be certified according to the new Conditions for Coverage?
Albumin is an important test that tells about the patient's __________ status.
Albumin is an important test that tells about the patient's __________ status.
Which of the following is NOT a phosphate binder?
Which of the following is NOT a phosphate binder?
What is asepsis defined as?
What is asepsis defined as?
Study Notes
AAMI Standards and Testing
- AAMI Chemical Analysis of water used for hemodialysis is conducted annually.
- AAMI standards for microbial count in dialysate must not exceed 200 CFU/mL.
- Endotoxin levels according to AAMI standards are less than 2 EU/mL.
Patient Interactions and Care
- Describe activities in the environment when interacting with blind patients to ensure comfort.
- Refer patients expressing feelings of loneliness or depression to a social worker for further support.
- Always clean the surface of the hemodialysis machine immediately upon observing blood.
Environmental Safety
- A one-ounce (30mL) fluid spill on the floor poses an environmental risk on the treatment floor.
Patient Anatomy and Treatment
- A fistula connects an artery to a vein, essential for hemodialysis access.
- An infiltration is suspected when there is swelling and rising venous pressure at the needle site during treatment.
- The nephron comprises a glomerulus and a tubule system, integral for kidney function.
Dialysis Considerations
- First dialysis treatment patients are at risk for dialysis disequilibrium syndrome.
- Albumin levels reflect a patient’s nutritional status, significant for overall health in dialysis patients.
- Acceptable interdialytic weight gains are typically between 3% to 5% of estimated dry weight (EDW).
Electrolyte Levels and Monitoring
- High potassium levels can cause serious cardiac arrhythmias and can be life-threatening.
- Foods high in potassium include bananas, which should be limited in a dialysis patient’s diet.
Heart Rate and Conditions
- A heart rate of 54 beats/minute indicates bradycardia; 104 beats/minute indicates tachycardia.
- Bradycardia and tachycardia are important vital signs to monitor in dialysis patients.
Documentation and Practice
- Never document actions performed by someone else; always record your own interventions.
- Documenting a teammate’s administration of saline is not permissible.
Miscellaneous
- Vitamin B12 is used as a marker to determine middle molecule clearance in dialysis.
- Cations and anions are present in a mixed-bed DI tank, critical for water quality in dialysis.
- Common phosphate binders include Renagel and Phos-Lo; Tums is not a phosphate binder.
Certification and Regulations
- Federal regulation requires all dialysis technicians to be certified by April 15, 2010.
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Description
Test your knowledge with Davita Star Learning Flashcards focused on hemodialysis and patient interaction strategies. This quiz covers best practices in care, chemical analysis, and communication techniques for dialysis technicians. Perfect for healthcare professionals eager to enhance their skills in dialysis settings.
