Practice Quiz

NREMT EMR First Responder

Category - Medicine

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Which of the following is true when dealing with someone who is on renal dialysis due to kidney failure?
  1. You should not lay the patient on the ground due to negative effect on the kidneys
  2. Do not take a blood pressure reading in the arm where the dialysis shunt is located
  3. If the patient is bleeding from the shunt, do not apply pressure directly to the wound due to risk of damaging the shunt
  4. Do not allow the patient to remove themselves from the dialysis machine as it is keeping them alive
Explanation
Answer: B - If the patient has a shunt by which they obtain dialysis, it is important to avoid taking a blood pressure reading on the same side as the shunt. The shunt is the location where the dialysis machine accesses the patient’s circulatory system. It is made by a surgical procedure where a vein and artery are connected together resulting in a high pressure “shunt.” If a patient bleeds from the shunt, it will be under high pressure and must be aggressively controlled with direct pressure.
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