Certified Hemodialysis Technologist/Technician Exam Medications and Pharmacology in Dialysis

Question 1

Which class of medications is most commonly used to treat anemia in dialysis patients?

Accepted Answer

Erythropoiesis-stimulating agents (ESAs)

Answer

Erythropoiesis-stimulating agents (ESAs) such as epoetin alfa and darbepoetin stimulate red blood cell production in anemic dialysis patients.

Question 2

What is the target hemoglobin range recommended by KDIGO guidelines for dialysis patients receiving ESA therapy?

Accepted Answer

10–11.5 g/dL

Answer

KDIGO guidelines recommend maintaining hemoglobin between 10–11.5 g/dL for dialysis patients to reduce transfusion risk without increasing cardiovascular events.

Question 3

IV iron administration during hemodialysis is timed to coincide with:

Accepted Answer

The first 30 minutes of treatment

Answer

IV iron is typically given in the first 30 minutes of dialysis to allow maximum monitoring time for infusion reactions.

Question 4

Which phosphate binder is calcium-based and most commonly used in dialysis patients?

Accepted Answer

Calcium carbonate

Answer

Calcium carbonate is a widely used, calcium-based phosphate binder that binds dietary phosphate in the GI tract.

Question 5

Why is aluminum hydroxide generally avoided as a long-term phosphate binder in dialysis patients?

Accepted Answer

It causes aluminum toxicity leading to dementia and bone disease

Answer

Chronic aluminum hydroxide use leads to aluminum accumulation causing dialysis dementia and adynamic bone disease.

Certified Hemodialysis Technologist/Technician Exam Practice Test

Certified Hemodialysis Technologist/Technician Exam Practice Test

Certified Hemodialysis Technologist/Technician Exam Medications and Pharmacology in Dialysis