Davita Final Exam Study Guide Latest Update

Davita Final Exam (Study Guide) Latest Update With Questions and Answers 100% Complete Solution

*Decrease* in *BFR and DVP * Inadequate heparin - Correct Answer Can decrease K in Kt/V

*Lack of oxygen to the heart muscle*, CVD, Hypotension, Anemia, hemoglobin and anxiety can cause - Correct Answer Chest pain

*Preventing hypovolemia and hypotension*, monitoring hemoglobin, Identifying and treating with medication may - Correct Answer Help prevent chest pain

• Call for help.
• Check for pt's DNR status, if no DNR start CPR till EMS arrives
• Discontinue dialysis
• Maintain access/CVC ports w/ saline
• Secure needles/ports and prepare for transport
• Complete the CAS (Cardiopulmonary Arrest Sheet) does not need to be signed off by

nurse.

• Dialyzer materials are to sequestered for investigation - Correct Answer Interventions

of cardiac arrest

• Dealing with consequences of illness
• Focusing on problem solving, decision making and self confidence
• Placing patient and care providers in partnership with specific responsibilities -

Correct Answer what are the three basic principles of self management

• Fatigue
• Muscle weakness
• Respiratory failure
• Irritable heart muscle
• Dysrhythmias (irregular heartbeat)
• Cardia arrest - Correct Answer Signs and symptoms of Hypokalemia

• Kidney stones
• Neurogenic bladder
• Vesicoureteral reflux (reflux from bladder > ureter)

*Blockage to kidneys* - Correct Answer Examples of Post-renal causes of AKI

1) *Back pain* 2) *Cherry red blood (Kool-aid)* 3) *Pain the venous access* 4) Chest pain 1 / 3

5) Dyspnea (SOB) - Correct Answer Symptoms of Hemolysis

1) *Burning/hot sensation at venous access site* 2) *Itching* 3) Respiratory distress 4) Back pain & severe chest pain 5) Tingling around lips 6) Swelling of eyes & lips 7) Hemolysis or foam and bubbles in blood 8) Flushing - Correct Answer Symptoms of Disinfectant Infusion

1) *Excessive UF* 2) *Too much removal/too rapid removal of fluid* 3) Antihypertensive meds 4) *Dehydration (Vomiting/Diarrhea)* 5) OTC drugs (herbs) 6) Foods 7) *Inappropriate TW* - Correct Answer Causes of hypotension

1) *Headache* * THINK OF FLUID IN BRAIN 2) Hypertension 3) Nausea 4) Restlessness 5) Blurred Vision 6) Seizures 7) Confusion - Correct Answer Symptoms of DDS

1) *Hypertension* 2) *LVH (left ventricular hypertrophy)* 3) CVD (cardiovascular disease) are consequences of ... - Correct Answer Hypervolemia (Fluid overload)

1) *Ischemia & damage* to initial vital organs 2) Loss of residual renal function 3) *Increase mortality rate* - Correct Answer Hypovolemia

1) *Pain in chest* 2) *Difficulty breathing* 3)* Nausea (GI distress)* 4) *Discomfort in jaw, neck, shoulder, back, or arms* 5) Dyspnea 6) Pale/ashen color - Correct Answer Symptoms of chest pain

1) *Rapid/excessive* shifts in patient *fluid volume* and *removal* 2) *Exceeding maximum of UFR* of 13 mL/hr 3) *Fluid/electrolyte imbalance* 2 / 3

4) Hypovolemia *(low potassium)* 5) Hypoxemia (*low oxygen* in tissues) - Correct Answer Causes of Muscle cramps

1) *SOB*

2) *Chest pain* 3) *Dyspnea/coughing* 4) *Cyanosis* (blue-purple tint of skin) 5) Paralysis on one side of the body 6) *Visible air* in venous line 7) Restlessness/confusion 8) Seizures & Cardiac arrest - Correct Answer Symptoms of Air Embolism

1) *STOP* blood pump 2) Clamp all lines, *DO NOT RETURN BLOOD* 3) Draw 10 ml of blood from both arterial/venous lines then attach new syringe to arterial 4) Attach new saline bag to venous line 5) *Collect BLOOD specimens* from both lines 6) Monitor vitals 7) *Investigate cause: check dialysate temp., test for chlorine /chloramine, conductivity, draw dialysate culture, and residual sterilant testing* - Correct Answer Interventions of Hemolysis

1) *STOP* DIALYSIS

2) Clamp lines

*DO NOT RETURN BLOOD*

3) Support vascular status by administering saline as needed - Correct Answer Intervention for First Use Syndrome

1) *Wash* arm 2) *Clean* according to P&P guidelines 3) Spray *4-10 seconds 3-7 inches away* 4) Try to not frost skin - Correct Answer How to administer topical anesthetic spray

1) Access has been cannulated w/ 2 needles for 2 months w/o complications 2) Beginner cannulator can cannulate - Correct Answer Established AVF

1) Blood loss (Hemorrhaging) 2) Blood clots 3) Burns *Not getting blood flow to kidneys* - Correct Answer Examples of Pre- renal causes of AKI

1) Calcium 2) Phosphorus 3) PTH (Parathyroid Hormone)

• / 3