Podcast
Questions and Answers
AAMI standard for conventional dialysis requires the total microbial count to be less than?
AAMI standard for conventional dialysis requires the total microbial count to be less than?
200 CFU/mL
Abnormal levels of this electrolyte can cause cardiac arrhythmias and even death. What is it?
Abnormal levels of this electrolyte can cause cardiac arrhythmias and even death. What is it?
Potassium
Acceptable interdialytic weight gains are?
Acceptable interdialytic weight gains are?
3-5% of TW
The AAMI standard for endotoxin levels in conventional dialysate is?
The AAMI standard for endotoxin levels in conventional dialysate is?
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Albumin is an important test that tells about the patient’s __________ status.
Albumin is an important test that tells about the patient’s __________ status.
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All of the following are phosphate binders EXCEPT?
All of the following are phosphate binders EXCEPT?
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Numbness and tingling are signs or symptoms of an infected access.
Numbness and tingling are signs or symptoms of an infected access.
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What does Asepsis mean?
What does Asepsis mean?
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AAMI chemical analysis of water used for hemodialysis is tested?
AAMI chemical analysis of water used for hemodialysis is tested?
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What approach should the dialysis tech use when interacting with a blind patient?
What approach should the dialysis tech use when interacting with a blind patient?
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What should a dialysis technician do upon observing a drop of blood on the surface of a patient's machine?
What should a dialysis technician do upon observing a drop of blood on the surface of a patient's machine?
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About one ounce (30 ml) fluid on the floor poses an environmental risk.
About one ounce (30 ml) fluid on the floor poses an environmental risk.
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If a female dialysis technician encounters a male patient expressing loneliness and depression and requests dinner, what should she do?
If a female dialysis technician encounters a male patient expressing loneliness and depression and requests dinner, what should she do?
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A fistula connects?
A fistula connects?
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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?
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What does a mixed bed DI tank contain?
What does a mixed bed DI tank contain?
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What is a Nephron made up of?
What is a Nephron made up of?
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What should a dialysis technician suspect if a patient complains of pain at the venous needle site with swelling and rising venous pressure?
What should a dialysis technician suspect if a patient complains of pain at the venous needle site with swelling and rising venous pressure?
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A patient receiving their first dialysis treatment is prone to?
A patient receiving their first dialysis treatment is prone to?
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Which food is highest in potassium?
Which food is highest in potassium?
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A slow pulse of 54 beats/minute indicates the patient has?
A slow pulse of 54 beats/minute indicates the patient has?
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Why is a dialysis technician required to be certified?
Why is a dialysis technician required to be certified?
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A rise in transmembrane pressure in a low flux dialyzer during hemodialysis indicates?
A rise in transmembrane pressure in a low flux dialyzer during hemodialysis indicates?
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What should you do when documenting a medication administered by a teammate?
What should you do when documenting a medication administered by a teammate?
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A true aneurysm can be dangerous because it?
A true aneurysm can be dangerous because it?
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When a technician notices the predialysis BUN level was lower than the post dialysis BUN level, what is the first question to ask?
When a technician notices the predialysis BUN level was lower than the post dialysis BUN level, what is the first question to ask?
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A rapid pulse of 104 beats/minute indicates the patient has?
A rapid pulse of 104 beats/minute indicates the patient has?
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To determine how much fluid a patient must lose during a four-hour treatment, what is the calculation if their target weight is 154.0 lb (70 kg) and pre-treatment weight is 158.4 lb (72 kg)?
To determine how much fluid a patient must lose during a four-hour treatment, what is the calculation if their target weight is 154.0 lb (70 kg) and pre-treatment weight is 158.4 lb (72 kg)?
Signup and view all the answers
AAMI standard for conventional dialysate requires the total microbial count to be less than?
AAMI standard for conventional dialysate requires the total microbial count to be less than?
Signup and view all the answers
Abnormal levels of this electrolyte can cause cardiac arrhythmias and even death. What is it?
Abnormal levels of this electrolyte can cause cardiac arrhythmias and even death. What is it?
Signup and view all the answers
Acceptable interdialytic weight gains are?
Acceptable interdialytic weight gains are?
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The AAMI standard for endotoxin levels in conventional dialysate is?
The AAMI standard for endotoxin levels in conventional dialysate is?
Signup and view all the answers
Albumin is an important test that tells about the patients' __________ status.
Albumin is an important test that tells about the patients' __________ status.
Signup and view all the answers
All of the following are phosphate binders EXCEPT?
All of the following are phosphate binders EXCEPT?
Signup and view all the answers
Numbness and tingling are signs or symptoms of an infected access.
Numbness and tingling are signs or symptoms of an infected access.
Signup and view all the answers
What does Asepsis mean?
What does Asepsis mean?
Signup and view all the answers
AAMI chemical analysis of water used for hemodialysis is tested?
AAMI chemical analysis of water used for hemodialysis is tested?
Signup and view all the answers
What approach should the dialysis tech use when interacting with a blind patient?
What approach should the dialysis tech use when interacting with a blind patient?
Signup and view all the answers
What should a dialysis technician do upon observing a drop of blood on the surface of a patient's machine?
What should a dialysis technician do upon observing a drop of blood on the surface of a patient's machine?
Signup and view all the answers
About one ounce (30 ml) fluid on the floor poses an environmental risk.
About one ounce (30 ml) fluid on the floor poses an environmental risk.
Signup and view all the answers
If a female dialysis technician encounters a male patient expressing loneliness and depression and asks for dinner, what should she do?
If a female dialysis technician encounters a male patient expressing loneliness and depression and asks for dinner, what should she do?
Signup and view all the answers
A fistula connects?
A fistula connects?
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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?
Signup and view all the answers
What does a mixed bed DI tank contain?
What does a mixed bed DI tank contain?
Signup and view all the answers
What is a Nephron made up of?
What is a Nephron made up of?
Signup and view all the answers
What should a dialysis technician suspect if a patient complains of pain at the venous needle site with swelling and rising venous pressure?
What should a dialysis technician suspect if a patient complains of pain at the venous needle site with swelling and rising venous pressure?
Signup and view all the answers
A patient receiving their first dialysis treatment is prone to?
A patient receiving their first dialysis treatment is prone to?
Signup and view all the answers
Which food is highest in potassium?
Which food is highest in potassium?
Signup and view all the answers
A slow pulse of 54 beats/minute indicates the patient has?
A slow pulse of 54 beats/minute indicates the patient has?
Signup and view all the answers
Why is a dialysis technician required to be certified?
Why is a dialysis technician required to be certified?
Signup and view all the answers
A rise in transmembrane pressure in a low flux dialyzer during hemodialysis indicates?
A rise in transmembrane pressure in a low flux dialyzer during hemodialysis indicates?
Signup and view all the answers
What should you do when documenting a medication administered by a teammate?
What should you do when documenting a medication administered by a teammate?
Signup and view all the answers
A true aneurysm can be dangerous because it?
A true aneurysm can be dangerous because it?
Signup and view all the answers
When a technician notices the predialysis BUN level was lower than the post dialysis BUN level, what is the first question to ask?
When a technician notices the predialysis BUN level was lower than the post dialysis BUN level, what is the first question to ask?
Signup and view all the answers
A rapid pulse of 104 beats/minute indicates the patient has?
A rapid pulse of 104 beats/minute indicates the patient has?
Signup and view all the answers
To determine how much fluid a patient must lose during a four-hour treatment, what is the calculation if their target weight is 154.0 lb (70 kg) and pre-treatment weight is 158.4 lb (72 kg)?
To determine how much fluid a patient must lose during a four-hour treatment, what is the calculation if their target weight is 154.0 lb (70 kg) and pre-treatment weight is 158.4 lb (72 kg)?
Signup and view all the answers
AAMI standard for conventional dialysate requires the total microbial count to be less than?
AAMI standard for conventional dialysate requires the total microbial count to be less than?
Signup and view all the answers
Abnormal levels of this electrolyte can cause cardiac arrhythmias and even death. What is it?
Abnormal levels of this electrolyte can cause cardiac arrhythmias and even death. What is it?
Signup and view all the answers
Acceptable interdialytic weight gains are?
Acceptable interdialytic weight gains are?
Signup and view all the answers
The AAMI standard for endotoxin levels in conventional dialysate is?
The AAMI standard for endotoxin levels in conventional dialysate is?
Signup and view all the answers
Albumin is an important test that tells about the patients' __________ status.
Albumin is an important test that tells about the patients' __________ status.
Signup and view all the answers
All of the following are phosphate binders EXCEPT?
All of the following are phosphate binders EXCEPT?
Signup and view all the answers
Numbness and tingling are signs or symptoms of an infected access.
Numbness and tingling are signs or symptoms of an infected access.
Signup and view all the answers
What does Asepsis mean?
What does Asepsis mean?
Signup and view all the answers
AAMI chemical analysis of water used for hemodialysis is tested?
AAMI chemical analysis of water used for hemodialysis is tested?
Signup and view all the answers
What approach should the dialysis tech use when interacting with a blind patient?
What approach should the dialysis tech use when interacting with a blind patient?
Signup and view all the answers
What should a dialysis technician do upon observing a drop of blood on the surface of a patient's machine?
What should a dialysis technician do upon observing a drop of blood on the surface of a patient's machine?
Signup and view all the answers
About one ounce (30 ml) fluid on the floor poses an environmental risk.
About one ounce (30 ml) fluid on the floor poses an environmental risk.
Signup and view all the answers
If a female dialysis technician encounters a male patient expressing loneliness and depression and requests dinner, what should she do?
If a female dialysis technician encounters a male patient expressing loneliness and depression and requests dinner, what should she do?
Signup and view all the answers
A fistula connects?
A fistula connects?
Signup and view all the answers
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?
Signup and view all the answers
What does a mixed bed DI tank contain?
What does a mixed bed DI tank contain?
Signup and view all the answers
What is a Nephron made up of?
What is a Nephron made up of?
Signup and view all the answers
What should a dialysis technician suspect if a patient complains of pain at the venous needle site with swelling and rising venous pressure?
What should a dialysis technician suspect if a patient complains of pain at the venous needle site with swelling and rising venous pressure?
Signup and view all the answers
A patient receiving their first dialysis treatment is prone to?
A patient receiving their first dialysis treatment is prone to?
Signup and view all the answers
Which food is highest in potassium?
Which food is highest in potassium?
Signup and view all the answers
A slow pulse of 54 beats/minute indicates the patient has?
A slow pulse of 54 beats/minute indicates the patient has?
Signup and view all the answers
Why is a dialysis technician required to be certified?
Why is a dialysis technician required to be certified?
Signup and view all the answers
A rise in transmembrane pressure in a low flux dialyzer during hemodialysis indicates?
A rise in transmembrane pressure in a low flux dialyzer during hemodialysis indicates?
Signup and view all the answers
What should you do when documenting a medication administered by a teammate?
What should you do when documenting a medication administered by a teammate?
Signup and view all the answers
A true aneurysm can be dangerous because it?
A true aneurysm can be dangerous because it?
Signup and view all the answers
When a technician notices the predialysis BUN level was lower than the post dialysis BUN level, what is the first question to ask?
When a technician notices the predialysis BUN level was lower than the post dialysis BUN level, what is the first question to ask?
Signup and view all the answers
A rapid pulse of 104 beats/minute indicates the patient has?
A rapid pulse of 104 beats/minute indicates the patient has?
Signup and view all the answers
To determine how much fluid a patient must lose during a four-hour treatment, what is the calculation if their target weight is 154.0 lb (70 kg) and pre-treatment weight is 158.4 lb (72 kg)?
To determine how much fluid a patient must lose during a four-hour treatment, what is the calculation if their target weight is 154.0 lb (70 kg) and pre-treatment weight is 158.4 lb (72 kg)?
Signup and view all the answers
AAMI standard for conventional dialysate requires the total microbial count to be less than?
AAMI standard for conventional dialysate requires the total microbial count to be less than?
Signup and view all the answers
Abnormal levels of this electrolyte can cause cardiac arrhythmias and even death. What is it?
Abnormal levels of this electrolyte can cause cardiac arrhythmias and even death. What is it?
Signup and view all the answers
Acceptable interdialytic weight gains are?
Acceptable interdialytic weight gains are?
Signup and view all the answers
The AAMI standard for endotoxin levels in conventional dialysate is?
The AAMI standard for endotoxin levels in conventional dialysate is?
Signup and view all the answers
Albumin is an important test that tells about the patients' __________ status.
Albumin is an important test that tells about the patients' __________ status.
Signup and view all the answers
All of the following are phosphate binders EXCEPT?
All of the following are phosphate binders EXCEPT?
Signup and view all the answers
Numbness and tingling are signs or symptoms of an infected access.
Numbness and tingling are signs or symptoms of an infected access.
Signup and view all the answers
What does Asepsis mean?
What does Asepsis mean?
Signup and view all the answers
AAMI chemical analysis of water used for hemodialysis is tested?
AAMI chemical analysis of water used for hemodialysis is tested?
Signup and view all the answers
What approach should the dialysis tech use when interacting with a blind patient?
What approach should the dialysis tech use when interacting with a blind patient?
Signup and view all the answers
What should a dialysis technician do upon observing a drop of blood on the surface of a patient's machine?
What should a dialysis technician do upon observing a drop of blood on the surface of a patient's machine?
Signup and view all the answers
About one ounce (30 ml) fluid on the floor poses an environmental risk.
About one ounce (30 ml) fluid on the floor poses an environmental risk.
Signup and view all the answers
If a female dialysis technician encounters a male patient expressing loneliness and depression and asks for dinner, what should she do?
If a female dialysis technician encounters a male patient expressing loneliness and depression and asks for dinner, what should she do?
Signup and view all the answers
A fistula connects?
A fistula connects?
Signup and view all the answers
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?
Signup and view all the answers
What does a mixed bed DI tank contain?
What does a mixed bed DI tank contain?
Signup and view all the answers
What is a Nephron made up of?
What is a Nephron made up of?
Signup and view all the answers
What should a dialysis technician suspect if a patient complains of pain at the venous needle site with swelling and rising venous pressure?
What should a dialysis technician suspect if a patient complains of pain at the venous needle site with swelling and rising venous pressure?
Signup and view all the answers
A patient receiving their first dialysis treatment is prone to?
A patient receiving their first dialysis treatment is prone to?
Signup and view all the answers
Which food is highest in potassium?
Which food is highest in potassium?
Signup and view all the answers
A slow pulse of 54 beats/minute indicates the patient has?
A slow pulse of 54 beats/minute indicates the patient has?
Signup and view all the answers
Why is a dialysis technician required to be certified?
Why is a dialysis technician required to be certified?
Signup and view all the answers
A rise in transmembrane pressure in a low flux dialyzer during hemodialysis indicates?
A rise in transmembrane pressure in a low flux dialyzer during hemodialysis indicates?
Signup and view all the answers
What should you do when documenting a medication administered by a teammate?
What should you do when documenting a medication administered by a teammate?
Signup and view all the answers
A true aneurysm can be dangerous because it?
A true aneurysm can be dangerous because it?
Signup and view all the answers
When a technician notices the predialysis BUN level was lower than the post dialysis BUN level, what is the first question to ask?
When a technician notices the predialysis BUN level was lower than the post dialysis BUN level, what is the first question to ask?
Signup and view all the answers
A rapid pulse of 104 beats/minute indicates the patient has?
A rapid pulse of 104 beats/minute indicates the patient has?
Signup and view all the answers
To determine how much fluid a patient must lose during a four-hour treatment, what is the calculation if their target weight is 154.0 lb (70 kg) and pre-treatment weight is 158.4 lb (72 kg)?
To determine how much fluid a patient must lose during a four-hour treatment, what is the calculation if their target weight is 154.0 lb (70 kg) and pre-treatment weight is 158.4 lb (72 kg)?
Signup and view all the answers
AAMI standard for conventional dialysate requires the total microbial count to be less than?
AAMI standard for conventional dialysate requires the total microbial count to be less than?
Signup and view all the answers
Abnormal levels of this electrolyte can cause cardiac arrhythmias and even death. What is it?
Abnormal levels of this electrolyte can cause cardiac arrhythmias and even death. What is it?
Signup and view all the answers
Acceptable interdialytic weight gains are?
Acceptable interdialytic weight gains are?
Signup and view all the answers
The AAMI standard for endotoxin levels in conventional dialysate is?
The AAMI standard for endotoxin levels in conventional dialysate is?
Signup and view all the answers
Study Notes
Microbial Count Standards
- AAMI standard for conventional dialysis requires total microbial count to be less than 200 CFU/mL.
- AAMI standard for dialysate specifies a microbial count of less than 100 CFU/mL.
Electrolyte Management
- Abnormal potassium levels can lead to cardiac arrhythmias and even be fatal.
- Hyperkalemia symptoms may include numbness and tingling.
Interdialytic Weight Gain
- Acceptable interdialytic weight gains range from 3-5% of target weight (TW).
Infection and Access
- Numbness and tingling are not signs of infected access.
- Signs of infection include fever, swelling, redness, and tenderness.
Aseptic Techniques
- Asepsis is the absence of disease-causing organisms.
- Infection control requires using gloves when handling hemodialysis machinery.
Dialysis Equipment and Procedures
- Dialysate pH is maintained between 6.9 and 7.6.
- Conductivity testing of dialysate should be conducted; if it fails, notify the equipment technician.
Patient Interaction and Education
- For visually impaired patients, describe the activities in the environment.
- Refer patients expressing feelings of loneliness to a social worker.
Hemodialysis Complications
- Monitor for infiltration when a patient experiences swelling at the venous needle site.
- Hypotension can occur towards the end of dialysis treatments, indicated by dizziness and nausea.
Blood Parameters and Monitoring
- Predialysis BUN levels should be lower than post-dialysis levels to confirm correct sampling.
- Normal albumin levels are crucial as low levels are associated with higher hospitalization rates.
Ultrafiltration and Fluid Management
- The ultrafiltration rate is determined by the volume of fluid removed divided by treatment time.
- Excess fluid causes symptoms like hypertension and shortness of breath.
Emergency Responses
- In cases of cardiac arrest, the first step is to call for assistance.
- When air bubbles are detected in the circuit, clamp the venous line immediately.
Education and Training
- Certification is a requirement by CMS for dialysis technicians.
- Continued education reinforces necessary patient knowledge and compliance with protocols.
Kidney Function and Dialysis Efficacy
- Nephron, the functional unit of the kidney, consists of glomeruli and tubules.
- Urea Reduction Ratio (URR) target is a ratio greater than 65%, highlighting the efficacy of dialysis.
Miscellaneous
- Use of normal saline before treatment helps remove air from the circuit.
- Blood flow rate decreases diffusion rates during dialysis treatment.
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Description
Prepare for the NNCC Certified Clinical Hemodialysis Technician (CCHT) exam with these flashcards. Each card focuses on essential standards and knowledge needed for successful certification, including microbial counts and electrolyte management. Test your understanding and readiness with this concise study aid.