Print Options

Card layout: ?

← Back to notecard set|Easy Notecards home page

Instructions for Side by Side Printing
  1. Print the notecards
  2. Fold each page in half along the solid vertical line
  3. Cut out the notecards by cutting along each horizontal dotted line
  4. Optional: Glue, tape or staple the ends of each notecard together
  1. Verify Front of pages is selected for Viewing and print the front of the notecards
  2. Select Back of pages for Viewing and print the back of the notecards
    NOTE: Since the back of the pages are printed in reverse order (last page is printed first), keep the pages in the same order as they were after Step 1. Also, be sure to feed the pages in the same direction as you did in Step 1.
  3. Cut out the notecards by cutting along each horizontal and vertical dotted line
To print: Ctrl+PPrint as a list

12 notecards = 3 pages (4 cards per page)

Viewing:

Water treatment

front 1

what are the reasons for water treatment

back 1

- patient safety

- prevent equipment damage: there things in the water that can prevent the equipment to function.

front 2

Aluminum in water used for dialysis causes:

back 2

- anemia

- bone disease

- N/V

front 3

Chlorine in water used for hemodialysis causes

back 3

- hemolysis

- Anemia

front 4

Excess calcium and sodium in water used for dialysis causes:

back 4

hypertension

front 5

Excess calcium and magnesium in water used for dialysis causes:

back 5

Muscle weakness

front 6

water/Dialysate culture results

back 6

- Acceptable level: Below 50 cfu/ml

- action level: 50-199 cfu/ml

- unacceptable level: 200 cfu/ml or greater

front 7

Water/Dialysate endotoxin testing results

back 7

-/ Acceptable level: below 1EU/ml

-/ Action level: 1 EU/ml or greater but less 2EU/ml

-/ Unacceptable level: 2 EU/ml or greater

front 8

what removes chlorine/chloramine testing

back 8

when: prior to first pt treatment and as long as we are using the water, . 15min prior to test

where: after tanks

Acceptable result: Chlorine limit is 0.1mg/l or less

Action if results are too high post primary tank: repeat . check after 2sd tank. repeat the result and check if is still greater than 0.1mg/l. if still high check the second tank.

F/U if secondary test results are within limits: Q30 minutes and document

F/U if secondary test results are too high: stop dialysis

front 9

Hardness testing

1 - What is removed?

2- why is it important?

3- when do test?

back 9

1- hardness ions (calcium + magnesium)

2- primarily for Ro routine, protectc from scale(build-up of calcium and magnesium) by using salt water to make exchange for the hardness ions

3- At the end of the Tx day

front 10

what does the RO remove?

back 10

-/ organic and inoganic contaminants % rejection need to 90%

-/ bacteria and endotoxin

front 11

what are two concerns with using DI tanks?

back 11

1- highly dangerous when exhausted: when exhausted contaminated will go to the pt.

2- Typically increased bacteria and exdotoxin levels

front 12

Response to Final Water Quality Alarm

back 12

1- pull all dialysis machine in bypass mode

2- Notify charge RN, FA Biomed, Medical Director

3- If water quality cannot be restored, erminate all treatment and submit a facility AOR