Machine alarms and Treatment Complications
Online pht test runs every
12 mins
Mr. hall has Infiltration pre treatment venous needle with no heparin given what do you do
1pull needle 2apply pressure 3place needle above the are of infiltration 4 instruct pt to apply ice6-8 hrs at home
What is dialysate a ph range
6.9-7.6
Which of the following causes a high tmp alarm?
Any RESISTANCE in the circuit
Blood side alarms are
Arterial pressure Venous pressure tmp Blood leak Air detector.
All of the following are symptoms of an air embolism except A confusion B high b/p C Coughing D dyspnea
B High b/p
Blood leak alarm
Blood and dialysate mix Possible pyrogenic reaction Cracked dialyzer Ruptured fibers Blood loss
All of the following are causes of a low venous pressure except A. Calmed venous line B. Kinked lines C. Clotted dialyzer D. Low arterial pressure
Clamped venous line A
High tmp alarms means that there is
Clotting in the dialyzer Too high UFR Too high BFR
Any arterial pressure greater than -240 can cause what
Hemolysis and loss of access
If Ms green comes in with a A fever, drainage and red at the puncturing site this is a sign of
Infection
Air embolism preventions
Maintain armed air detector Observe site Monitor saline bag Verify catheters are clamped when not in use Verify tight connectors and line
Another equation for tmp
Pb-(-pd)
If heparin had been given and ms smiths venous needle is infiltrated what do you do
Secure with tape Apply ice Place 2nd needle above are of infiltration Instruct to apply ice6-8 hrs at home
causes of high venous pressure
Stenosis Clotting in the needle Clotting in the drop chamber Patient activity
It would be onto use arterial needle after an infiltration? True or false
TRUE
What will cause your machine to go into by pass
Temperature Bicarb ran out Conductivity hi or low UF off or minimum
Causes of Low tmp means
There is anything happening in the dialyzer Dialysate bypass Changing goal or time Conductivity out of range UFR off or very low
Never run a patient without arming the air detector TRUE OR FALSE
True
Air in the lines intervention
Turn BFR 50-100ml/min Place hemostat between venous pressure pod and venous end of dialyzer Place 20ml syringe on venous drop chamber Open clamp and pull back to crest -75 mmhg of pressure
1st action if infiltration during mid treatment is
Turn pump off
Pull machine is if fails pht test more than
Twice