Week 2 Of Hemodialysis

Front 1

Asepsis

Back 1

Asepsis is the absence of disease producing organisms

Front 2

Sterilizing

Back 2

Sterilizing is destroying all microorganisms

Front 3

Disinfecting

Back 3

Disinfecting is destroying or inhibiting growth of microorganisms

Front 4

Clean

Back 4

Clean is not completely free of germs, but disinfected

Front 5

Contaminated

Back 5

Contaminated is a previously sterile item that has been touched by something unsterile

Front 6

Dirty

Back 6

Dirty means not clean or sterile

Front 7

Pathogen (Disease agent)

Back 7

A Pathogen (disease agent) is when microorganisms multiply and invade body tissues

Front 8

Infection

Back 8

Infection is an invasion of the body by harmful organisms

Front 9

Bacteria

Back 9

Bacteria is single cell organisms

Front 10

Virus

Back 10

Virus is infectious agents that must rely on living cells to grow and reproduce

Front 11

Direct Contact

Back 11

Touching an infecting person by shaking hands, kissing or other physical contact

Front 12

Indirect Contact

Back 12

Touching contaminated objects or surfaces. Such as a phone faucet or doorknob

Front 13

Droplet spread

Back 13

Breathing droplets sneezed or coughed from the respiratory tract of another person

Front 14

What is the most important way to prevent the spread of disease?

Back 14

Handwashing is the most important measure everyone can take to prevent the spread of disease

Front 15

PPE

Back 15

Personal Protective Equipment; Gloves, Gown, Mast, Goggles

Front 16

Hepatitis B Virus (HBV)

Back 16

Patients with this virus can be treated in regular clinics but needs to be isolated. HBV is preventable with the vaccine and HBV is a blood-born pathogen

Front 17

Tuberculosis (TB)

Back 17

Tuberculosis is transmissible through airborne droplets and is very contagious. You will never see patients with TB In the clinics, they will need to be going to the hospital

Front 18

What stage must the hemo dialysis machine be in before you can run the tests?

Back 18

The Hemo dialysis machine must be in alarm free stage before you can get the machine patient ready

Front 19

How long should you wash your hands for?

Back 19

30-45 seconds.

Front 20

When do you was your hands?

Back 20

Before and after performing an invasive/noninvasive procedure; Before contact with any patient; after contact with any body substance; when you enter or leave the dialysis area

Front 21

Symptoms of Uremia

Back 21

Cardiovascular; fluid imbalances; Electrolyte imbalances; Central Nervous System;

Front 22

Cardiovascular

Back 22

Primarily due to fluid and electrolyte imbalances; the fluid stays in your vascular space and can enlarge your heart

Front 23

Fluid imbalances

Back 23

Fluid deficit: hypotension (intravascular); Cramping (intracellular)

Fluid Excess: Edema (intracellular or interstitial); Hypertension (intravascular)

Pericarditis, (interstitial)

Pulmonary Edema/CHF (congestive heart failure)

Front 24

Pitting Edema

Back 24

applying pressure to the swollen area causing an indentation for sometime

Front 25

Electrolyte Imbalances

Back 25

Hyperkalemia: High potassium (k+)

Hypokalemia: Low potassium (k+)

Front 26

Hyperkalemia

Back 26

Symptoms: extreme muscle weakness, abnormal heart rhythm, possible cardiac arrest

Causes: Diet, infections, hemolysis

Front 27

Hypokalemia

Back 27

Symptoms: fatigue, muscle weakness, paralysis, respiratory failure, abnormal heart rhythm, possible cardiac arrest

Front 28

Acid-Base or pH Imbalances

Back 28

Metabolic acidosis

Front 29

Endocrine

Back 29

Hypothermia; Sexual Dysfunctions

Front 30

Central Nervous System (CNS)

Back 30

Headaches; Personality Changes; Changes in cognitive abilities

Front 31

Peripheral Nervous System (PNS)

Back 31

Muscle Weakness; Burning feet; Restless legs; Decreased sensation; Motor weakness

Front 32

Gastrointestinal (GI)

Back 32

Anorexia, nausea, vomiting; Diarrhea/constipation; Ulcerative Disease; Uremic Fetor (sweet smell in the breath)

Front 33

Ophthalmologic

Back 33

Red watery eyes, blurred vision, optic nerve damage/occasional

Front 34

Dermatological

Back 34

Pallor, Pruritis, Bruises

Front 35

Psychological

Back 35

Depression, Agitation, psychosis, anxiety, irritability

Front 36

Hematological

Back 36

Anemia, Platelet dysfunction, decreased white blood cells

Front 37

Symptoms of Anemia

Back 37

Fatigue, Altered mental status, diminished exercise tolerance, diminished sexual function, pallor

Front 38

Skeletal: CKD (chronic Kidney Disease) - MBD (Mineral and Bone disorder)

Back 38

Bone disease related to renal failure; affects almost all patients by the time maintenance, dialysis is initiated

Front 39

Manifestations of CKD - MBD

Back 39

Muscle weakness, extra skeletal calcification, bone pain, pathological fractures, tendon ruptures, compression of vertebrae, growth failure in children

Front 40

What is the best management of Uremia?

Back 40

The best management of uremia is transplant or adequate dialysis

Front 41

Power Button

Back 41

Turn the machine on. Hold for one second to turn the power off and if the blood is sensed, the machine will power down with an audible alarm

Front 42

Mute button

Back 42

Silence an alarm for two minutes or until another alarm occurs. MUTE IS YOUR FRIEND. If the machine asks you a question you must answer it

Front 43

New Treatment (New TX) button

Back 43

Erase the current treatment information and move the summary information to the previous record in the "trends" screen. Press the CONFIRM key to complete the action. To cancel, press the Escape key.

Front 44

Reset button

Back 44

Reset the alarms. Press again and hold for one second to set new arterial and venous pressures

Front 45

Home button

Back 45

View current treatment data including treatment time remaining. UF data, arterial, venous, and transmembrane pressures and dialysate data

Front 46

Dialysate button

Back 46

View and select acid/bicarbonate concentrate type, bicarbonate, sodium, electrolyte concentrations and conductivity settings

Front 47

Trends button

Back 47

View charts the provide graphic views of treatment effectiveness, sodium variation system and UF profiles, and patient's blood pressure over time. Views the summary data of the patient's treatment settings.

Front 48

Test and options button

Back 48

View pressure test, Alarm tests and diasafe test options and results. View treatment options for pediatric and singel needle patients, high flux dialyzers, patient ID numbers and dialysate sampling.

Front 49

Heparin button

Back 49

View options for administering heparin gradually over the course of the treatment or as a bolus injection

Front 50

Bolus button

Back 50

Large amount of something given all at once. We do not bolus in the machine and we give in the access port 3-5 minutes before treatment.

Front 51

Blood Pressure button

Back 51

View all pulse and blod pressure test results taken during treatment. Blood pressure alarm limits and inflation pressure and frequency of blood pressure tests are set in this screen.

Front 52

Confirm button

Back 52

Save a treatment parameters entry or confirm an action initiated on the touch screen. The CONFIRM key is a backup, safety feature designed to prevent accidental changes to the intended treatment parameters.

Front 53

Escape button

Back 53

Void the current entry and return to previously entered parameter value before CONFIRM is pressed

Front 54

Override button

Back 54

Keep he blood pump running for three minutes when a blood-leak alarm is present. The yellow override light will illuminate. OR if a blood leak alarm is not present, pressing and holding the Override key for one second will spread the arterial and venous alarm limits and the TMP alarm limits are spread fully open for 30 seconds. The light will not be on.

Front 55

Dialysate Flow On/Off button

Back 55

Start and stop the flow of dialysate. Flow is off when the yellow triangular light is solid or flashing. The light is not illuminated when flow is on.

Front 56

SVS (Sodium Variation System) on/off button

Back 56

When the SVS is on, the green, triangular light is illuminated. The light will flash when the SVS program is interrupted.

Front 57

UF (Ultrafilteration) Rate button

Back 57

Turn the UF pump on or off. During UF, the green light is illuminated. This light will flash when UF is interrupted.

Front 58

Bypass button

Back 58

Dialysate flow is bypassing the dialyzer because dialysate is outside the allowable temperature or conductivity limits, or shunt interlock door is open

Front 59

Start/Stop button

Back 59

Starts and stops the blood pump. Opening the door will also stop the blood pump

Front 60

Pressure port button

Back 60

Line from arterial drip chamber is connected to a transducer protector and attached here to provide arterial blood pressure readings

Front 61

Level adjusting key

Back 61

pressing the triangle key will raise the level of the fluid in the arterial drip chamber

Front 62

Blood alarms

Back 62

Air dector (in the blood); Blood leak detector (major/minor); Prime; Override; Stat/Deflate; Heparin on/off

Front 63

Dialysate Alarms

Back 63

Dialysate flow on/off; SVS on/off; UR on/off; Bypass

Front 64

Extracorporeal

Back 64

Blood sequence (tubing outside of the body)

Front 65

The rule of thumb is to always do both tests.

Back 65

pressure test and alarm test