Hemodialysis Lecture Notes Review

Vocabulary flashcards covering key concepts from the hemodialysis lecture notes, including procedures, complications, water quality, and surveyor interactions.

Heparin bolus waiting period

3-5 minutes prior to treatment initiation.

Immediate Jeopardy (IJ) reason

Insufficient or inaccurate chlorine checks.

Responding to a surveyor

State 'I don't know the answer, but I will find out.'

What NOT to say to a surveyor

'I was never told that' or 'nobody ever told me.'

KDOQI Rule of 6's (AVF maturation)

Guidelines for fistula maturation: 6-8 weeks post-op, blood flow of 600, diameter of 0.6 cm, and depth not deeper than 0.6 cm below the skin.

Outflow stenosis

Associated with a whistling sound.

Inflow stenosis

Associated with a water hammer pulse.

Thrombosis prevention (hemostatic sponges)

Remove hemostatic sponges before patient discharge and cover with sterile gauze.

AV fistula cannulation prep

Use a tourniquet during cannulation on all AV fistulas unless documented otherwise.

Cannulation site healing time

14 days or 2 weeks.

Chlorine in hemodialysis water

Causes hemolysis, which releases potassium.

Chlorine/chloramine testing frequency

Cannot be more than 4 hours apart.

Hardness testing removes

Calcium and magnesium.

Hardness testing schedule

At the end of each day.

Final water quality alarm response

1. Put all machines in bypass mode, 2. Notify charge nurse, FA, biomed, Medical director, 3. If water quality cannot be restored, terminate all treatments.

Indicator of numbing effectiveness

Blanching of skin.