Docsity
Docsity

Prepare for your exams
Prepare for your exams

Study with the several resources on Docsity


Earn points to download
Earn points to download

Earn points by helping other students or get them with a premium plan


Guidelines and tips
Guidelines and tips

DAVITA DIALYSIS THEORY EXAM: Comprehensive Study Guide for Healthcare Professionals, Exams of Medicine

A comprehensive study guide for healthcare professionals preparing for a davita dialysis theory exam. It covers key concepts related to acute kidney injury (aki), chronic kidney disease (ckd), dialysis procedures, patient monitoring, and infection control. Definitions, explanations, and multiple-choice questions with answers, making it a valuable resource for exam preparation and knowledge reinforcement.

Typology: Exams

2024/2025

Available from 01/18/2025

tizian-kylan
tizian-kylan 🇺🇸

2.7

(21)

3.7K documents

1 / 16

Toggle sidebar

This page cannot be seen from the preview

Don't miss anything!

bg1
DAVITA DIALYSIS THEORY EXAM
LATEST UPDATE GRADED A+
define the term AKI ✔✔acute kidney injury that incorporates a wide variety of kidney issues
ranging from kidney failure to functional loss
Pre-renal causes of AKI ✔✔hypovolemia (hemorrhage, dehydration, diarrhea, vomiting),
decreased cardiac output (dysrhythmias, HF, MI), decreased peripheral vascular resistance
(anaphylaxis, septic shock), decreased renovascular blood flow (embolism, renal artery
thrombosis)
Intra-renal causes of AKI ✔✔direct damage to kidneys due to
Ischemic ATN ✔✔occurs when the tubular cells do not get enough oxygen, a condition that they
are highly sensitive and susceptible to, due to their very high metabolism
Post-renal causes of AKI ✔✔benign prostatic hyperplasia, bladder cancer, calculi formation,
neuromuscular disorders, prostate cancer, spinal cord disease, strictures, trauma
pre, intra and post renal AKI ✔✔
pf3
pf4
pf5
pf8
pf9
pfa
pfd
pfe
pff

Partial preview of the text

Download DAVITA DIALYSIS THEORY EXAM: Comprehensive Study Guide for Healthcare Professionals and more Exams Medicine in PDF only on Docsity!

DAVITA DIALYSIS THEORY EXAMLATEST UPDATE GRADED A+

define the term AKIranging from kidney failure to functional loss ✔✔acute kidney injury that incorporates a wide variety of kidney issues

Pre-renal causes of AKIdecreased cardiac output (dysrhythmias, HF, MI), decreased peripheral vascular resistance ✔✔hypovolemia (hemorrhage, dehydration, diarrhea, vomiting), (anaphylaxis, septic shock), decreased renovascular blood flow (embolism, renal arterythrombosis)

Intra-renal causes of AKI ✔✔direct damage to kidneys due to

Ischemic ATNare highly sensitive and susceptible to, due to their very high metabolism ✔✔occurs when the tubular cells do not get enough oxygen, a condition that they

Post-renal causes of AKIneuromuscular disorders, prostate cancer, spinal cord disease, strictures, trauma ✔✔benign prostatic hyperplasia, bladder cancer, calculi formation,

pre, intra and post renal AKI ✔✔

AKI patients are at an increased risk for which complication? ✔✔infection

Why is it important to monitor BP and weight for dialysis patientsthe body. ✔✔To prevent excess fluid in Blood pressure measurements taken after dialysis are a good indicator of whether we areremoving enough fluid and whether your dry weight target is correct.

Difference between AKI and CKD ✔✔acute kidney failure vs chronic kidney AKI is the sudden onset of functional kidney loss and a decrease in GFR. CKD is loss ordecreased GFR for at least 3 months or more.

communication BP reading if cuff is too small ✔✔False high reading

BP reading if cuff is too big ✔✔falsely low reading

BP reading if clothing is too thick ✔✔falsely high reading

BP reading if patient has peripheral vascular disease ✔✔high BP

BP reading if patient has bradycardia ✔✔high arterial BP

BP reading if patient has arrhythmias ✔✔Low BP

what does SMART communication stand for ✔✔Simple MeaningfulActual

ReadTeach

What are the five "W's" when completing an REM ✔✔who what when where why

what are the three things you should not include in an REM ✔✔opinions, vendettas, speculation When dialyzing a patient with AKI, monitoring weight and BP is important because ✔✔hypovolemia and hypotensive episodes can cause renal ischemia and further damage

What are the four consequences of sodium loading a patienthypertension ✔✔edema, thirst, weight gain and

3 ways we can contribute to sodium loading during dialysisdialysate, normal saline ✔✔broth, too much sodium in

HAI'S ✔✔healthcare associated infections

hemoglobin for patients on EPO limit ✔✔no greater than 12 gm/dL

renal reference range for phosphorous ✔✔3.0-5.5 mg/dL

renal reference range for calcium ✔✔8.4-10.2 mg/dL

renal reference range ✔✔60-80 mg/dL

bicarbonate reference range ✔✔22-28 mEq/L

Albumin reference range ✔✔less than 4.0 gm/dL

why is drawing the correct amount of blood for a blood culture so importantcan create a false positive due to a "high blood background" from increased cell count ✔✔too much blood

how much of normal kidney function is replaced by hemodialysis? ✔✔15%

signs and symptoms of fluid imbalancemuscular spasticity, tetany, respiratory depression, muscular weakness and/or muscular ✔✔dehydration, hyponatremia, nausea, vomiting, twitching, diaphoresis and a high temperature hypokalemia ✔✔deficient potassium in the blood less than 3. primary cause why patients are anemia ✔✔lack of erythropoietin

what are the four key elements affected in CKD-MBD ✔✔calcium phosphorousPTH calcitriol what does hypertension lead to ✔✔left ventricular hypertrophy

list two examples of independent nursing functions ✔✔patient care technical skills

acid base balance what are the kidneys endocrine functions ✔✔renin, erythropoiesis, and vitamin D

what is the function of bicarbonateprevent metabolic acidosis ✔✔helps maintain the acid-base balance in patients and

how do we replace normal excretory kidney functions ✔✔remove excess fluid normalize electrolytesreduce metabolic acidosis

How do we replace normal endocrine functions of the kidney? ✔✔reduce hypertension Epo and iron for anemiaphosphate binders Ca+ replacements goal for albumin ✔✔greater than 4

recommended daily intake of sodium ✔✔2000 mg or 2 g /day

potassium goal ✔✔3.5-5.

Reasons for hyperkalemia ✔✔metabolic acidosis

why is PTH secreted ✔✔high phosphorous low calciumlow calcitrol

how long do we wait after administering the heparin bolus to treatment initiation ✔✔3-5 minutes

What does TRAMP stand for ✔✔time, reason, amount, med, person

apheresis ✔✔collection or removal of blood components for therapeutic effect "sick blood" BFR: of 40-150 ml/minslow

needle gauge and suggested BFR rate ✔✔17-200- 16-250-35015-350-

angle to insert AVF needle ✔✔30-45 degree

what are the two reasons for water treatment ✔✔Patient safety and to prevent equipment damage

what is removed during water testing ✔✔calcium, chloride, magnesium, and sodium

why is water testing important ✔✔prevents build up and scaling of calcium on the membrane

albumin in water used for dialysis is used for ✔✔helps with fluid removal during the treatment when dialyzing a patient with acute kidney injury, one task of the team is to monitor BP andweight closely why? ✔✔hypovolemia and hypotensive episodes can cause ren ischemia that can further damage the kidneys

chronic kidney disease can have its origin pre renal intra or post. which are the followingconditions of intra renal causes of CKD ✔✔hypertension

knowning what causes your patients CKDcause health complications which could impact the treatment ✔✔is important because the underlying disease could

why must you wait 3-5 min after adminstering the initial hepatin bolus before initiating thetreatment ✔✔it takes 3-5 minutes for systemic heparinization to occur

preventing hypotensive episodes during the treatment is important because they are associatedwith ✔✔a higher mortality rate

which condition may impair a patients increase in pulse rate as a response to hypovolemia ✔✔autonomic neuropathy

what is your main priority when returning a patient blood with the hand crank during a poweroutage ✔✔you must be vigilant in watching for ain the blood lines

which may cause a decrease in the hemoglobin with ES KD ✔✔infection

which is an indication of the physician to order an aphaeresis treatmentharmful antibodies in the blood plamsa ✔✔accumulation of

what is on benefit of CRRThemodynamically unstable patients ✔✔the therapy is slow, gentle, and well tolerated by

which condition may impair a patients increase in pulse rate as a response to hypovolemia ✔✔autonomic neuropathy

what problem will cause an increase in the patients venous pressurechamber ✔✔a clot in the venous drip