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Dialysis M3
Exam 2 rewiew
| Question | Answer |
|---|---|
| Staffing for in-center chronic | 1 staff to 3 patients |
| staffing for in-center self care | 1 staff to 6 patients |
| RN ratio for techs | 1 RN to 5 Techs |
| RN ratio for home training | 1 RN to 10-12 patients |
| T/F MD must be in the hospital when dialysis is done outside the unit | True |
| T/F Two dialysis staff must be present in unit whenever patients are dialyzed | True |
| staff to patient ratio for acute patient care off unit | 1 staff to 1 patient |
| What regulation cover local command policies | AR 385-10, AR 385-30 |
| Dialysis need 24 hour _____ to operate | LAB, Blood, Xray |
| who is responsible for the policies of the unit | medical director |
| upper airway | nose, pharynx and larynx |
| lower tract | trachea (12 inches) drives into 2 main stem bronchi and ends with the alveoli |
| major nerve supplies to the lungs | vegas nerve and thoracic sympathetic ganglia |
| major muscle of inspiration | diaphram |
| lungs regulates ph with | blood hydrogen concentration |
| where is the voice box located | larynx |
| chemoreceptors are located in the | aortic arch carotid |
| respiratory system controls CO2 portion of | henderson-hasselbach equation |
| apnea | absence of breathing |
| cheyne stokes | gradually deeper and faster with pauses |
| kussmal's | deeper and faster |
| pectus excavatum | funnel chest, sternum retracts inward |
| kyphosis | exaggeration of normal convexity of thoracic spine (hunch back) |
| scoliosis | shoulder raised and hip lowered (S-shaped) |
| kyphoscoliosis | s-shaped spine with hunch back |
| wheezes | high pitched whistling |
| rales | (crackles) short, discrete, popping |
| rhonchi | coarse, rumbling, low pitched |
| pleural friction rubs | creaking, leathery, dry coarse |
| patient says EEE and changes to AAA | Egophony |
| absorption | process by which a drug is absorbed into circulation |
| distribution | movement of absorbed drugs from site of absorption to other locations |
| metabolism takes place in the _______? | liver |
| metabolism | chemical conversion of a drug to another chemical for, usually less toxic |
| excretion takes place in the ______? | kidney's |
| excretion | process by which a drugs leaves th body in an unaltered or metabolized state |
| example of a dialyzable antibiotic | gentamycin |
| example of two non dialyzable antibiotics | vanco, amphotericin |
| give vanco over ________ hour | 1 |
| give amphotericin over _______ hours | 4 |
| systemic antacids are given to treat __________? | metabolic acidosis |
| example of systemic antacid _________? | sodium bicarbonate |
| non-systemic binder | neutralize gastric acid IE calcium |
| phosphorus binder must be given with______? | meals |
| antacids should be given _________? | 30- 1 hour after medication |
| nephrocaps contain______? | folic acid and pyridoxine |
| example of bulk forming | colace, metamucil |
| ace inhibitors | interrupt renin-angiotensin-aldosterone system for control of HTN |
| osmotic diuretic example | mannitol |
| osmotic diuretic's | is frequently given during the first 1-3 dialysis treating to prevent dialysis disequilibrium |
| location of the heart | lies in the mediastinum, behind the body of the sternum |
| pericardium | membranous sac that encloses the heart |
| pericardial space | filled with fluid 5-20 cc for lubercation |
| epicardium | outer layer of the heart |
| myocardium | muscular part of the heart |
| endocardium | inner layer of the heart |
| ventricles are the | major pumps of the heart |
| LV | main pump and largest most muscular |
| av valves | mitral left, tricuspid right |
| semilunar valves | pulmonary and aortic valves |
| mechanical cells | striated |
| electrical cells | conduction pathway and nodal cells |
| automaticity | generate its own impulse |
| conductivity | propergate impulse |
| excitability | respond to impulse |
| contractibility | lengthen and shorten |
| normal cardiac output is | 5 lpm |
| SV x HR= | Cardiac output |
| S1 | lubb |
| S2 | dubb |