Fresenius PCT test with Certified
Solutions
Hey B (infected) ✔✔HBsAG+
Hep. B can live on the surface for up to ✔✔7 days
MRSA, VRE, VRSA ✔✔need to be dialyzed in a separate area (not I so. room)
dedicated equipment
...
Fresenius PCT test with Certified
Solutions
Hey B (infected) ✔✔HBsAG+
Hep. B can live on the surface for up to ✔✔7 days
MRSA, VRE, VRSA ✔✔need to be dialyzed in a separate area (not I so. room)
dedicated equipment
TB patients ✔✔neg. pressure room
no outpatient center
HOW exposed ✔✔prophylaxis w/in 2 hrs.
urinary system ✔✔kidneys, ureters, urinary bladder, urethra
The _______ produce urine which is transported by the _____ to the ______ to be stored and
then excreted from the body via the _____ ✔✔kidneys, ureters,bladder,urethra
kidneys have how many nephrons ✔✔over a million
nephrons are composed of ✔✔glomerulus and tubules
blood enters the kidneys through ✔✔renal artery
artery eventually branches off into ✔✔capillaries
kidneys are important in maintaining good health bc? ✔✔they filter, waste, and extra electrolytes
from the capillaries into the tubules
amount of urine produced is partially affected by ✔✔ADH
(Antidiuretic hormone)
ADH affects the healthy kidney by ✔✔reducing the excretion of urine
What are the kidneys 4 functions ✔✔Excretory
Regulatory
Filtration
Endocrine
Excretory ✔✔kidneys rid the body of waste products, excess fluid, and electrolytes
uremia ✔✔when waste products build up in the blood
if waste products are not removed ✔✔it adversely affects every system of the body
Regulatory ✔✔kidneys maintain acid/base balance (done by excreting H+ and reabsorbing
bicarbonate) fluid balance and electrolyte balance
Filtration ✔✔nephons retain some thing and filter out and reabsorb others
nephons are ✔✔the smallest functional units of the kidneys
Endocrine ✔✔makes hormone
- renin
-erythropietin
Hyperkalemia-(high potassium) causes ✔✔muscle weakness & cardiac weakness,cardiac
arrhythmias, possible leading to heart attack
where does blood enter the kidneys ✔✔renal artery
hyperkalemia (high potassium) ✔✔muscle weakness and cardiac weakness,cardiac arrhythmias,
possibly leading to a heart attack
kidneys are important ✔✔in maintaining good health
homeostasis ✔✔balance in electrolytes
renal failure effects ✔✔digestive
cardiovascular
skeletal
lungs
dialysate is composed of ✔✔purified water (RO)
bicarbonate
acid
acid part of the bath ✔✔C+ (calcium)
K+ (potassium)
dialysate is ✔✔biocompatibleand clean not sterile
dialysate is mixed in ✔✔the dialysis machine and goes through the diasafe filter
diasafe filter ✔✔ultra purified the dialysate before it goes into the dialyzer
dialysate is tested for ✔✔total chlorine
bacteria
endotoxins
conductivity and ph are verified with ✔✔phoenix meter
acceptable range for ph when using the Phoenix meter ✔✔6.9-7.6
diffusion ✔✔Movement of molecules from an area of higher concentration to an area of lower
concentration.
Osmosis is ✔✔the movement of water from lower concentration of solutes to higher
concentration
Ultrafiltration ✔✔use of both negative and positive to pull excess fluid from the patient
what are the goals of hemodialysis ✔✔removal of waste products
regulation of fluid balance
correction of electrolytes and acid/base imbalance
conductivity measures ✔✔Electric current
HMIS ✔✔label for bicarb
chemical contain ✔✔label for acid
the 2 carbon tanks remove ✔✔chlorine
chloramine
machines two test ✔✔alarm
pressure
when do you test machine ✔✔before each pt.
3 things that cause hemolysis ✔✔chemical
chlorine
pressure
hemolysis ✔✔sob
chest pain
bright red translucent blood in chamber
check blood for leak ✔✔effluent dialysate fluid (red hose) w/ blood leak strip
TMP alarm ✔✔measures the transmembrane or total membrane pressure
when to goes up ✔✔fibers clot off in dialyzer
conductivity alarm goes off ✔✔machine will go into bypass and dialysate is shunted to the drain
hypotonic dialysate ✔✔cause hemolysis
Hypertonic dialysate ✔✔causes creation
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