Why would a nephrologist order a formulary exception of citrasate or CitraPure dialysate concentrate ? {Ans: to use as part of anticoagulation therapy during the dialysis treatment when heparin is contraindicated}first use syndrome 1. definition 2. causes 3. symptoms 4. intervention 5. prevention {Ans: 1. a group of symptoms that occur shortly after starting tx with new dialyzer 2. may be manufacturing residues in dialyzer 3. chest pain, back pain, palpitation, itching, funny taste in mouth 4. notify nurse, manage symptoms, stop tx, notify MD 5. rinse dialyzer well before tx, discuss alternative dialyzer w MD}What removes chlorine/chloramines? {Ans: Carbon tanks}Blood Leak Detector alarm 1. cause 2. intervention {Ans: 1. air bubbles in dialysate, dirty sensor 2. check dialysate connections, bleach machine}air foam alarm 1. cause 2. intervention {Ans: 1. air in blood lines 2. look at circuit for blood in the system. do not return blood with air in the system}excess Ca and Na in water used for dialysis causes {Ans: hypertension}excess Ca and Mg in water used for dialysis causes {Ans: muscle weakness}muscle cramps 1. definition 2. causes 3. symptoms 4. intervention 5. prevention {Ans: 1. painful muscle contractions 2.