CRRT Quiz

Description

Test your knowledge of the setup, use and troubleshooting of the CRRT machine
Natalie Tredway
Quiz by Natalie Tredway, updated more than 1 year ago
Natalie Tredway
Created by Natalie Tredway about 8 years ago
1912
3

Resource summary

Question 1

Question
What does CVVHD stand for?
Answer
  • Continuous venous venous hemofiltration
  • Continuous venous venous hemodialysis
  • Slow continuous ultrafiltration
  • Continuous renal replacement therapy

Question 2

Question
Your patient has an ultrafiltration goal of net -100 each hour. He is receiving norepinephrine at 10 mL/hr and vancomycin 250 mL/hr. Over the last hour, he put out 10 mL of urine, 50 mL of bile through the NG tube, and 20 mL in the JP drain. What do you set your ultrafiltration rate at?
Answer
  • 280
  • 360
  • 100
  • 180

Question 3

Question
Your patient has an order to be net -50 per hour. Over the last hour, she received zosyn at 100 mL/hour and her heparin infusion was set at 10 mL/hour. Her PO intake was 100 mL. Her wound vac put out 25 mL. What do you set your ultrafiltration rate at?
Answer
  • 185
  • 210
  • 135
  • 235

Question 4

Question
Your patient has an order to be net -100 per hour. Over the last hour, she received tube feeds at 75 mL/hour. Her chest tube put out 20mL and she made 10 mL of urine. What do you set your ultrafiltration rate at?
Answer
  • 75
  • 185
  • 145
  • 205

Question 5

Question
Your patient has an order to be net -50 per hour. Over the last hour, she received 1 unit of PRBC (300 mL) and a 50 mL water flush through the NG tube. Her Levophed infusion is running at 10 mL/hr. Her FMS put out 50 mL. Her EBL from a clotted filter is 190 mL. What do you set your ultrafiltration rate at?
Answer
  • 120
  • 170
  • 310
  • 360

Question 6

Question
How do you set up the machine to run CVVHD?
Answer
  • The filter comes set up to run CVVHD
  • The connection on the filter is changed
  • The machine is programmed for that therapy

Question 7

Question
What is the first step when troubleshooting alarms?
Answer
  • Press mute (yellow button)
  • Press stop (red button)
  • Press treatment (green button)
  • Press FYI

Question 8

Question
What do you do when your patient’s BP drops?
Answer
  • Press and hold stop for 2 seconds
  • Give a fluid bolus
  • Reduce ultrafiltration rate
  • Return blood
  • All of the above

Question 9

Question
What is the most important part of setting up a new filter?
Answer
  • Press SIMPLE and read all of the instructions including the details
  • Gathering supplies
  • Priming the filter
  • Programming the machine

Question 10

Question
What indicates your filter or access is clotting?
Answer
  • Change in access, venous, and effulent pressures
  • The machine tells you
  • You can see the clot

Question 11

Question
Which team is the only team that can make changes to CRRT orders (with the exception of net fluid removal)?
Answer
  • Renal service
  • Primary team
  • ICU team
  • Surgery team
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