CCHT Medication Administration and Anticoagulation

Question 1

What is the primary anticoagulant used during hemodialysis to prevent clotting in the extracorporeal circuit?

Accepted Answer

Heparin

Answer

Warfarin

Answer

Aspirin

Answer

Enoxaparin

Question 2

A patient receiving hemodialysis has a heparin allergy. Which alternative anticoagulation method is most commonly used?

Accepted Answer

Citrate anticoagulation

Answer

Warfarin infusion

Answer

Aspirin infusion

Answer

Clopidogrel

Question 3

What is the typical initial bolus dose range of unfractionated heparin administered at the start of hemodialysis?

Accepted Answer

1,000–5,000 units

Answer

100–500 units

Answer

10,000–15,000 units

Answer

50–100 units

Question 4

Which medication is used to reverse the anticoagulant effects of heparin in cases of overdose or emergency bleeding?

Accepted Answer

Protamine sulfate

Answer

Vitamin K

Answer

Fresh frozen plasma

Answer

Tranexamic acid

Question 5

When administering erythropoiesis-stimulating agents (ESAs) to a dialysis patient, what is the primary goal?

Accepted Answer

Treat anemia of chronic kidney disease

Answer

Reduce blood pressure

Answer

Lower serum phosphorus

Answer

Prevent infection

Question 6

Which iron preparation is commonly administered intravenously during hemodialysis sessions to treat iron deficiency anemia?

Accepted Answer

Iron sucrose

Answer

Oral ferrous sulfate

Answer

Vitamin B12 injection

Answer

Ferric citrate oral tablet

Question 7

Before administering IV iron during dialysis, which assessment is most important to perform?

Accepted Answer

Assess for signs of anaphylaxis risk and verify allergy history

Answer

Check blood glucose level

Answer

Measure blood pressure

Answer

Check patient weight