BONENT Continuing Dialysis Education (CDC) Practice Exam

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What is the appropriate response if a technician sees "jumping" bloodlines at a blood pump set at 250ml/min?

Increase the pump speed

Administer a bolus of saline

The appropriate response when a technician observes "jumping" bloodlines at a blood pump set at 250 ml/min is to administer a bolus of saline. The "jumping" or "pulsing" of bloodlines can indicate a potential issue with blood flow stability, often related to air in the lines or fluctuations in access blood flow. Administering a bolus of saline can help mitigate issues of turbulence or air, as it can stabilize the blood flow by adding volume and allowing for a smoother passage of blood through the lines and pump.

This approach can help to quickly resolve the issue by reducing potential clamping or turbulence in the system, thereby enhancing patient safety and improving the efficiency of the dialysis treatment session. It’s important for technicians to monitor blood flow dynamics closely and respond appropriately to maintain optimal performance and patient safety.

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Replace the bloodlines

Lower the blood flow rate

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