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Dialysis M3
Exam 4
| Question | Answer |
|---|---|
| what parts can be replaced on hemodialysis machinges | supply hoses, o-rings, dialyzer filters, battery |
| daily mait. | heat, acid rinse |
| weekly maint. | bleach |
| regular rinse | done at the start of the day and after bleach |
| machines are bleaches | q48-72 hours when not in use |
| RO's are back-flushed | q48-72 hours |
| do not store machines in hot areas due to | bacteria |
| dialysate line connectors places in | 0.1% bleach solution |
| AMMI | sets the standard for water quality in Dialysis |
| EPA passed water safety act in | 1974 and 1994 |
| mixes hot and cold water to maintain temp at | 60-85 degrees |
| booster pump | gives the syster the pressure it needs |
| multimedia filter | removes large particles |
| water softener | removes calcium and magnesium and work by ion exchange |
| Ro filter | removes carbon |
| if the water is hard what does this mean? | the water softner is not working but you can still continue my treatment |
| check for water hardness | each day |
| filtration is used to | remove particles, solutes and other substances |
| AAMI reccomends sedimet filters of both types and keep out light to prevent? | bacteria |
| carbon filters | remove chloride, chloramine and or |
| first tank is the | worker |
| second tank is the | polisher |
| carbon filter required empty time between | 6-10 minutes |
| do carbon filters remove electrolites | no |
| does the water softner remove electrolites | yes |
| In some systems, ___________ are used to remove bacteria and endotoxins | ultrafilters |
| deionization | process which exchanges ions in a solution |
| disadvantages to deionization | doesnt remove bacteria |
| reverse osmosis (RO) | process using pressurized filtration to remove chemical |
| RO temp | 77-82 Degrees F |
| equiptment should be operating atleats | 10-30 minutes prior to sample |
| remove atleast ____ before testing | 1 liter |
| anemia | decreased stimulus for RBC due to decreased erythropoietin |
| iorn deficiency | blood loss |
| recommended EPO dose | 80-120 units KG per week |
| EPO may increase | BP |
| total body iorn averages | 3-4 grams |
| iorn is stored in the | liver, spleen and bone marrow |
| serum iorn | 75-175 g/dl |
| take oral iorn | 1 hour before or 1 hour after meals |
| when taking IV iorn you should monitor | LFT's |
| IV iorn is contrainicated | liver prolems |
| different types of concentrate | liquid, powder and acid |
| bicarb types | liquid and powder |
| concentrate is the | dialysate |
| conductivity | plus or minus 2 |
| recheck conductivity | after 5 minutes draw up 10 ml |
| flush the RO | 48-72 hours |
| dont heat | bleach and renilin |
| dialysate bath | a fluid that helps remove uremic waste products and excessive electrolytes |
| replacing needed chemicals such as electrolytes and glucose | reverse diffusion |
| blood with a high concentration of wastes move to | dialysate solution with a lower concentration |
| hyponatremia | low bp, cramping, hemolysis |
| hypernatremia | thirst, HA, high bo, crenation of rbc's |
| disequilibrium | HA, N/V, tremors/ seizures |
| sodium | major electrolyte of extracellular fluid |
| sodium concentration is slightly ____ then normal serum in the blood | less |
| lower sodium in the concentration helps maintain high | BP |
| sodium is the most important single factor in | thirst |