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Dialysis M3
Exam 8
Question | Answer |
---|---|
NxStage system One (NSO) weighs about? | 70 pounds |
The NSO has whats 4 major components? | Cycler, OneView, Fluid warmer and Cartridge |
The ___ clamped line is the Arterial/access tubing. | RED |
The ___ clamped line is the Venus/return tubing. | BLUE |
The ___ clamped line is the Therapy fluid tubing. | GREEN |
The ___ clamped line is the Effluent/waste tubing. | YELLOW |
The NSO can operate in | HF, HD, UF |
CVVHD | Continous VenoVenous Hemodialysis |
CVVH | Continous VenoVenous Hemofiltration |
Hemodialyzer labeling requirements are? | Time of labeling, Composition, Information to be recorded on the label |
AAMI Standards | |
Cleaning Agents | |
What is Apheresis? | To remove or separate a part from a whole |
Options for Apheresis Access include? | Peripheral venipuncture 17g, AVG/AVF, Central line |
Hold virect pressure for ? | 15 minutes and use a wrap |
ACD-A is | (Acid Citrate Dextrose-formula A) binds to Calcium |
Dialyzers are rinsed within __ minutes of termination of dialysis? | 10 |
Cleaning agents are introduced into the ______ side of the kidney? | blood |
Cleaning agents should? | What is Restore surface area, Improve appearance and not cause injury to the membrane |
Dialyzer cleaning agents consist of? | What is Sodium hypochlorite (bleach), peroxide, peracetic acid, detergents, enzimes and EDTA |
What gives a good estimate of clearance? | What is Determining the volume of the hollow fiber bundle. |
Testing the dialyzer for use include? | What is membrane leak, case leak, appearance and number of clotted fibers. |
Compartments must be disinfected with appropriate concentration of an __________________? | antimicrobial agent |
Agent but remain in dialyzer during _______? | storage |
What is the ideal disinfectant? | broad antimicrobial, non reactive to dialyzer and non toxic to staff and patients |
CDC, NKF and AMMI recommend which disinfectant? | 4% formaldehyde |
Reprocessed dialyzers are reused only on the _________________? | original patient |
Prior to use the dialyzers must be tested for presence of_________? | disinfectant |
An all inclusive SOP for the reprocessing, including policies, training materials, manuals, procedures, etc. | What is Master Record |
Record of specific information about each dialyzer that is reprocessed. | What is Reprocessing record |
What are the hemodialyzer labeling requirements? | What is Time of labeling, composition of label and information to be recorded on the label. |
Preparation for dialysis and testing for toxic residue include? | Visual inspection, patient identification, testing for germicide, rinsing and priming dialyzer, set up dialyzer and content of written policies for testing toxic residue |
True/False: The Sorbent dialysis system needs no water treatment system. | True |
Sorbent dialysis is different from standard dialysis in that. | The spent dialysate is not discarded but regenerated by passing through a sorbent cartridge. |
The REDY system is widely used to treat patient requiring? | What is Special dialysis solutions. |
Sorbent dialysis uses premixed chemicals that are aded to ___ of tap water | 6 liters |
What are the basic components of the Sorbent system? | What is reservoir, cartridge, infusate system and regenerated dialysate solution |
How many cartridge layers are there? | 4 |
What are the 4 cartridge layers? | Purification, urease, Zirconium Phosphate and hydrated Zirconium Oxide |
What are the 2 types of cartridges? | SORB 20 gm chronic , and HISORB 30 gm acute |
Disadvantages of Sorbent dialysis. | bicarbonate proportionately reduced, low pump speed and clearance |
Advantages to Sorbent dialysis. | can use tap water and only 6 liters of water required |