Term
| Yellow color coding on the CRRT cartridge: |
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Definition
| Fluid circuit; effluent therapy fluid and ultrafiltrate leaving filter, then to drain |
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Term
| Green color coding on the CRRT cartridge: |
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Definition
| FLuid circuit; therapy fluid entering the cartridge from the warmer |
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Term
| Red color coding on the CRRT cartridge: |
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Definition
| Blood circuit; arterial/access or pull from patient |
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Term
| Blue color coding on the CRRT cartridge: |
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Definition
| Blood circuit: venous/return, or push to patient |
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Term
| White color coding on the CRRT cartridge: |
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Definition
| Saline line (from Saline priming bag) |
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Term
Identify the following cycler condition:
Red |
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Definition
| Alarm: all pumps are stopped! |
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Term
Identify the following cycler condition:
Yellow |
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Definition
| Caution: intervention required |
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Term
Identify the following cycler condition:
Green |
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Definition
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Term
Identify the following cycler condition:
Yellow Border |
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Definition
| Caution: informational only |
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Term
| Where do you find troubleshooting support? |
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Definition
| Maynifying glass icon on teh status bar in OneView |
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Term
| Where do you locate the hourly ultrafiltration removal |
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Definition
| On the history screen, UF column |
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Term
| How do you troubleshoot red alarms on NxStage System One? |
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Definition
M.I.S.T
Mute
Infomration
Stop
Treatment |
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Term
| How do you know which pumps are running? |
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Definition
| GReen dots beside rate are illuminated on the OneView therapy summary screen |
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Term
| How do you evaluate for filter clotting? |
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Definition
1. Follow instructions for deliver fluid manual fluid blous.check for filter clotting in FYI and dilver a filter flush
2. Unclamp saline line and saline T, then occlude arterial access patient line (to allow best visulatization of the filter) allow desired amount of saline to infuse and then re-clamp saline line and saline T
3. Revew graph screen for low venous pressure, effluent and balance chamber
4. Observe blood circuit for evidence of clotting |
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Term
| What does #2 (caution) fluid Balance System Check Underway (yellow caution) indicate? |
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Definition
| Routine fluid circuit test (happens every hour, withing first 15 minutes of therapy, and after balance chamber pressure alarms) |
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Term
| Where do you find instructions on how to return the patient's blood? |
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Definition
| In E of SIMPLE and in User's guide |
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Term
| DUring treatment, you get a caution #14 Air fluid inlet line. What might you do, to troubleshoot? |
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Definition
CHeck for empty therapy fluid bags
CHeck for clamped therapy fluid inlet or kinked therapy fluid lines
Check for excessive bubbles in therapy fluid line
CHeck for unbroken or partially broken frangibles |
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Term
| What might cause a check for arterial air? |
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Definition
| Poor patient access line, and loose connection on access side |
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Term
| DUring treatment, you get an Air in Venous Line alarm. How would you trouble shoot? |
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Definition
MIST. Mute, Information, Stop, Treatment.
FOllow instructions in OneView, use a 20 cc syringe to remove air form the cricuit at the post filter port. Inject the blood back through post fileter cap port, press treatment and observe venous return line for any air. press treatment again to clear the yellow caution, and flush the port with 3 cc of normal saline |
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Term
| Your CRRT patient experiences a drop in blood pressure. What is first action with CRRT? |
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Definition
| Pres and hold STOP for 2 seconds, "CRASH KEY" |
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Term
| What do you do if you don't know what to do? |
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Definition
| Push stop, disconnect the patient lines, adn reconnect to the prime spike, then flush the catheter ports with NS and dollow you hospitals hospitals protocol to manage a catheter |
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Term
| How do you troubleshoot an interventiaon yellow caution on teh Nxtage System One? |
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Definition
| Mute, Information, Treatment |
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Term
| WHat treatment expectations would you have for a septic patient? |
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Definition
CLogging and clotthing of the filter more frequently.
The filter may only last 4-8 hours instead of 24-72 hours |
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Term
| If you received a waste line pressure high alarm, what would you expect to happen next? |
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Definition
Up to three high balance chamber alarms follow it
The system does a balance chamber check |
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Term
| How can you tell if an arterial air alarm is due to air or an access problem (suction) |
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Definition
| An extremly negative access pressure woul indicate an access problem |
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Term
| How do you know if you have to reset your access pressure pod? |
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Definition
The pod is "topped out" full of blood, bot not fluctuating
THe access presure has three dashes instead of a number
The access pressure reading is stagnant, or not fluctuating
THe pod is bottomed out; no blood except around the edges |
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Term
| What does it mean if your access pressure pid diahrgam is bottomed out (no blood in pod)? |
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Definition
It needs to be reset
THere is a problem with your access
The patient may have moved so that the catherter sucked up against the vein wall |
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