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WorksheetsDialysis is complicated!
Total questions: 15
Worksheet time: 5mins
In the extracorporeal circuit, venous pressure is:
Negative
Neutral
Positive
Greater than 300 mmHg
Increased venous pressure could be caused by:
Poor arterial blood flow
Kink in the venous line
Arterial needle infiltration
Venous chamber underfilled
In the extracorporeal circuit, arterial pressure is:
Negative
Positive
More than 250 mmHg
Less than -250 mmHg
One cause of increased (more negative) arterial pressure is:
Arterial line positioned in the machine line guides
Kink in the venous line
Clot in the venous chamber
Venospasm
Clotting of the dialyzer has many potential causes. Some are:
Air in the lines; inadequate heparinization; poor access blood flow
Drip chamber levels too high; overheparinization; blood flow rate of 350 ml/min
Clotting of the dialyzer causes loss of membrane surface area and decreased treatment adequacy. True or False?
True
False
A blood leak is often cause by:
A bleeding disorder
A damaged dialyzer
Overheparinization
Underheparinization
The most common complication of hemodialysis is:
Seizures
Bradycardia
Hypertension
Hypotension
None of the above
A frequent cause of hypotension on dialysis is:
Non-adherence with BP meds
Too rapid fluid removal
Estimated dry weight too high
Low dialysate temperature
Your patient's blood pressure drops to 84/44 on dialysis. Which action is appropriate:
Place the patient in reverse trendelenberg position
Increase the ultrafiltration rate
Check the blood pressure again and then every 15 minutes
Administer 100 - 200 ml of normal saline
Your patient has chest pain on dialysis. You suspect hemolysis because:
The patient is not also short of breath
The blood in the extracorporeal circuit is translucent and cherry colored
Total chlorine testing of the RO water was performed 15 minutes late
The dialysis machine was heat disinfected last evening
Your patient develops tachycardia on dialysis (pulse rate 124). He is dizzy and says he may pass out. What could be the cause?
Calculated Ultrafiltration rate is 19 ml/kg/hr
Blood pressure is 194/97 mmHg
Respiratory rate is 20 breaths per minute
Patient temperature is 97.8 degrees Fahrenheit
3 hours and 15 minutes into treatment your patient experiences severe calf muscle cramps. Why did this happen?
The patient's estimated dry weight needs adjustment
The patient's blood pressure is 167/61
The patient's temperature is 99 degrees Fahrenheit
The dialysate temperature is set at 36 degrees Celsius
Chronic pruritis (itching) is sometimes a problem for ESRD patients on dialysis. Your patient may be itchy because:
The patient takes calcium-based phosphate binders
Blood level of phosphorus is low
Blood level of calcium is low
Blood level of phosphorus is high
What is the best first action to take when the patient complains of muscle cramping?
Increase the ultrafiltration rate
Take a blood pressure
Administer 100 - 200 ml of saline
Notify the physician
