RRB Dialysis Technician case studies
RRB Dialysis Technician · Put your knowledge to work in context.
The RRB Dialysis Technician examination is the recruitment test used by the Railway Recruitment Board to shortlist candidates for dialysis technician posts in Indian Railways health units and associated hospitals. It is intended for candidates with a formal qualification in dialysis technology or a related paramedical field who will be responsible for preparing machines, cannulating accesses, monitoring patients during sessions and responding to intradialytic emergencies under medical supervision. The RRB Dialysis Technician case studies are 5 cases and about 2,297 words.
1Cannulation Decision After Arterial Infiltration in a Mature AV Fistula
A is a 58-year-old man on thrice-weekly hemodialysis through a left brachiocephalic arteriovenous fistula created 9 months ago. Two days ago the arterial needle infiltrated during treatment; the area remains tender with a 3 × 4 cm ecchymosis over a 1.2 cm aneurysm.
530 words, about 3 min2Symptomatic Intradialytic Hypotension With a High Ultrafiltration Rate
B is a 72-year-old woman receiving hemodialysis three times weekly for 4 hours via a left forearm arteriovenous fistula. Her dry weight is 58.0 kg and today's pre-dialysis weight is 61.2 kg, giving an ultrafiltration goal of 3.2 L.
476 words, about 2 min3Chlorine Breakthrough After Carbon Tank Replacement
The water treatment room serves 12 hemodialysis stations. Yesterday a new granular activated carbon tank was installed in the two-tank series.
443 words, about 2 min4Febrile Tunneled Catheter Patient With Unsafe Medication Practices
A 46-year-old man with end-stage kidney disease has a tunneled right internal jugular catheter that was placed 5 months ago. During the first 45 minutes of hemodialysis he develops rigors, fever of 38.9°C, and BP 102/60 mmHg with heart rate 112.
424 words, about 2 min5Severe Hyperkalemia After a Missed Session With Hidden Potassium Sources
A 67-year-old woman with type 2 diabetes and end-stage kidney disease misses her Friday hemodialysis session because of transport problems and arrives Monday morning. She takes lisinopril 20 mg daily, spironolactone 25 mg daily, and calcium carbonate 1,250 mg with meals.
424 words, about 2 min