HHD Concepts Quiz
The cannulation technique of choice is…..
Rope ladder technique
Name four measures to prevent bleeding from the access site
Secure needles at insertion site, keep dialysis access and tubing visible during the treatment, use blood leak detectors and disconnect arterial needle before venous needle.
What is the most dreaded complication associated with the buttonhole technique ?
Risk of infection
How often is chlorine levels checked in HHD?
Chlorine levels are checked before each treatment or after each batch of dialysate is prepared.
What is the first step if air embolism is detected by the sensors?
Stop blood pump immediately, clamp venous line, patient to lay in supine position, call emergency medical personnel.
How often is purified water tested for endotoxin and colony count?
Monthly
Buttonhole cannulation can be considered in which situations?
Buttonhole cannulation can be considered for patients who are afraid of sharp needles, or when AVF has short workable segments, is deep in position and has a small diameter.
Mr X was initiated on HHD last month. On review of the patient's flowsheet, you notice multiple episodes of intradialytic hypotension. What is first step to do?
Review medications and decrease antihypertensive medications
Provide some strategies to alleviate needling pain or fear.
Apply warm compresses, local anesthetic agent or a vaso-coolant spray.
What precaution is recommended for patients using tunneled HD catheter to decrease the risk of unintentional disconnection and air embolism ?
Use of closed-connector device
4
5