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DAVITA PREP TEST

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newlyfe's version from 2017-05-26 01:07

Section 1

Question Answer
WHAT IS D MOST COMMON CAUSE FOR RENAL FAILURE IN THE USA?DIABETES MELLITUS
WHAT IS D PRIMARY CAUSE OF ANEMIA IN PATIENTS WITH REANAL FAILURE?LACK OF ERYTHROPOIETIN
WHAT IS D PURPOSE OF DAVITA'S DQI?DQI CREATES A FOCUS ON PATIENT OUTCOMES THAT WILL AFFECT THEIR LONGEVITY
WHAT IS THE SINGLE MOST IMPORTANT INTERVENTION IN PREVENTING HAI'S IN HEALTHCARE?HAND HYGIENE
WHAT IS YOUR IMMEDIATE RESPONSE TO A FINAL WATER QUALITY ALARM ON THE TREATMENT FLOOR?PLACE ALL MACHINES INTO BYPASS.
WHAT PROBLEM WILL CAUSE A DECREASE IN VENOUS PRESSURE?SEVERELY CLOTTED DIALYZER
WHAT PROBLEMS WILL CAUSE A MORE NEGATIVE PRE PUMP ARTERIAL PRESSUREKINKING OF THE ARTERIAL BLOOD TUBING BETWEEN ACCESS AND MONITOR.
WHICH GROUP CONTAINS THE HEMODIALYSIS DELIVERY SYSTEM'S MONITORS RELATED TO BLOOD MONITORING?AIR/FOAM DETECTOR AND VENOUS PRESSURE
WHICH IN CENTER HEMODIALYSIS PATIENTS ARE AT RISK OF EXPERIENCING SIGNS AND SYMPTOMS OF DIALYSIS DISEQUILIBRIUM PATIENTS WITH SEVERE MINERAL AND BONE DISORDER
WHICH IS THE MOST COMMON INFECTIOUS COMPLICATION IN HEMODIALYSIS PATIENTSVASCULAR ACCESS INFECTIONS
WHICH OF THE FOLLOWING CONDITIONS COULD CAUSE A TREATMENT COMPLICATION WITH A REUSED DIALYZERTHE AERACETIC ACID WITHIN THE DIALYZER DWELLED FOR SIX HOURS PRIOR TO TREATMENT INITIATION.
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Section 2

Question Answer
ULTRAFILTRATION IS DEFINED AS CONTROLLED FLUID REMOVAL BY MANIPULATION OF HYDROSTATIC PRESSURE
V-TAGS FOR CMS SURVEYS STATE SPECIFIC REGULATIONS TO BE MET WITHIN A CONDITION SUCH AS INFECTION CONTROL PROVIDE INTERPRETIVE GUIDANCE FOR EACH REGULATION AND CITE DEFICIENCIES BY TAG NUMBER. HOW CAN KNOWLEDGE OF THESE V-TAGS AFFECT THE PRACTICE OF PATIENT CARE PROVIDERS?PROVIDE PATIENT CARE WITHIN CMS CONDITIONS FOR COVERAGE / UNDERSTAND RATIONALES FOR SPEDCDIFIC REGULATIONS AS OUTLINED IN THE INTERPRETIVE GUIDANCE/ ASSIST IN THE DEVELOPMENT OF POLICIES AND PROCEDURES/ ALL OF THE ABOVE
WHICH GROUP CONTAINS THE HEMODIALYSIS DELIVERY SYSTEM'S MONITORS RELATED TO BLOOD MONITORING?AIR/FOAM DETECTOR AND VENOUS PRESSURE
WHAICH GROUP CONTAINS THE HEMODIALYSIS DELIVERY SYSTEM'S MONITORS RELATED TO DIALYSATE MONITORING?CONDUCTIVITY & TEMPERTURE
WHICH IN-CENTER HEMODIALYSIS PATIENTS ARE AT RISK OF EXPERIENCING SIGNS AND SYMPTOMS OF DIALYSIS DISEQUILIBRIUM SYNDROME?PATIENTS WHO ARE SKIPPING TREATMENTS
WHICH IS THE MOST COMMON INFECTIOUS COMPLICATION IN HEMODIALYSIS PATIENTS?VASCULAR ACCESS INFECTIONS
WHICH OF THE FOLLING CONDITIONS COULD CAUSE A TREATMENT COMPLICATION WITH A REUSED DIALYZER?THE PERACETIC ACID WITHIN THE DIALYZER DWELLED FOR SIX HOURS PRIOR TO TREATMENT INITIATION
WHAT TYPE OF PROTECTIVE PERSONAL EQUIPTMENT MUST BE WORN WHEN DRAWING PRE-DIALYSIS LAB SPECIMENTS THROUGH A VASCULAR ACCESS NEEDLE?GLOVES, GOWN, AND FACE SHIELD
WHEN AN AV ACCESS IS CANNULATED VIA THE ROPE LADDER METHOD CANNULATION SITES ARE ROTATED WITH EACH TREATMENT TO ALLOW HEALING AND INCREASE LONGEVITY OF THE ACCESS. HOW LONG DOES IT TAKE FOR A CANNULATION SITE TO HEAL?TWO WEEKS
WHEN COMPLETING AN AOR IT IS IMPORTANT TOSTATE THE FACTS IN REGARDS TO THE FIVE "W'S"
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Section 3

Question Answer
WHEN DRAWING LAB SPECIMENTS THE ORDER OF THE DRAW PREVENTS SUBSEQUENT SPECIMENTS FROM BEING CONTAMINATED WITH THE PREVIOUS TUBE'S ADDITIVES
WHEN MUST MEDICATIONS CONTAINING A PRESEVATIVE BE DISCARDED?AT 28 DAYS AFTER OPENING
WHEN SODIUM LOADING IS PRESENT DURING THE DIALYSIS TREATMENTIT LEADS TO AN INCREASE IN THIRST AND LARGER FLUID WEIGHT GAINS BETWEEN TREATMENTS AND CAN CONTRIBUTE TO POST DIALYSIS HYPERTENSION AND HEADACHES.
WHEN THE LAB RECEIVES QA LABORATORY TEST TUBE WITH DOUBLE LABELING REGULATIONS PROHIBIT THE LAB FROM PROCESSING SUCH A TUBE.
WHICH COMPLICATION IS ASSOCIATED WITH FLIPPING OR OVER-MANIPULATING NEEDLES?BLEEDING DURING DIALYSIS
HEMODIALYSIS HELPS NORMALIZE BODY PH THROUGH DIFFUSION OF BICARBONATE FROM THE DIALYSATE INTO THE BLOOD
HEMODIALYSIS REPLACES APPROXIMATALY HOW MUCH OF NORMAL KIDNEY FUNCTION?0.15
HOW DO YOU VERIFY THAT THE PATIENT IS STABLE AND SAFE FOR DISCHARGE AFTER THE DIALYSIS TREATMENT?EVALUATE THE EFFECTIVENESS OF THE TREATMENT BY COMPARING DATA TO PRE-DIALYSIS FINDINGS/ PCT'S NOTIFY THE NURSE IF THERE ARE ANY UNUSUAL FINDING/ NURSE PERFORM A POST TREATMENT ASSESSMENT AS REQUIRED / ALL OF THE ABOVE
HYPERVOLEMIA (FLUID OVERLOAD) IN DIALYSIS PATIENTSIS THE MOST COMMON CAUSE FOR HYPERTENSION LEFT BENTRICULAR HYPERTROPHY AND CARDIO VASCULAR DISEASE
IF A PATIENT PRESENTS WITH DIALYSIS ASSOCIATIOD PERICARDITIS TREATMENT INCLUDES MORE FREQUENT DIALYSIS AND HEPARIN RESTRICTION TO PREVENT BLEEDING INTO THE PERICARDIUM AND TAMPONADE
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Section 4

Question Answer
IF THE DECISION IS MADE ON THE TREATMENT FLOOR TO DISCARD A REUSED DIALYZER WHO WOULD BE THE PROPER PERSON TO DO SO?THE REUSE TECHNICIAN
IF YOU NOTICE THAT A PATIENTS CARETAKER IS STRUGGLING TO MEET THE DEMANDS OF THE PATIENTS TREATMENT REGIME YOU SHOULD NOTIFY THE SOCIAL WORKER BECAUSE HE/SHE IS THERE FOR PATIENTS AND THEIR FAMILIES
IN STATES THAT DO NOT MANDATE A PRE-DIALYSIS PATIENT ASSSESSMENT BY THE REGISTERED NURSE THE PCT MUST INFORM THE NURSE OF UNUSUAL DATA COLLECTION FINDINGS PRIOR TO TREATMENT INITIATION
IN WHAT POSITION WOULD YOU PLACE A PATIENT WHO EXPERIENCED AN AIR EMBOLISMLEFT SIDE TRENDELENBURG
INTERVENTIONS FOR A PATIENT COMPLAINING OF CHEST PAIN / ANGINA INCLUDEDECREASE BFR DECREASE UFR TO MINIMUM ADMINISTER OXYGEN
MINIMIUM UF SETTINGS PREVENT BACKFILTRATION OF DIALYSATE INTO THE PATIENTS BLOOD STREAM
OSHA REQUIRES EMPLOYYERS TO PROVIDE EMPLOYEES WITH A SAFE WORK ENVIRONMENT WHILE THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS) ARE CONCERNED WITH PATIENT CARE AND PATIENT SAFETY
OSMOSIS IS DEFINED AS FLUID MOVES FROM AN AREA OF LOWER SOLUTE CONCENTRATE TO AN AREA OF HIGHER SOLUTE CONCENTRATION
PER DAVITA POLICY, FEVER AND CHILLIS IS DEFINED AS ANY TEMPERATURE GREATER THAN 100* OR INCREASE OVER BASELINE OF 2*F WITH SYMPTOMS
PER THE CDC WHICH IS THE MOST IMPORTANT ROUTE BY WHICH PATHOGENS ARE TRANSMITTED IN HEALTH CARE SETTINGS INCLUDING DIALYSIS CENTERS?CONTACT TRANSMISSION
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Section 5

Question Answer
PHOSPHATE BINDERS ARE PRESCRIVED TO PREVENT PHOSPORUS IN MEALS FROM BEING ABSORBED. WHEN IS THE BEST TIME TO TAKE THEM?WITH A MEAL
POOR OR INCOMPLETE DOCUMENTATION CAN OPEN AN ATTACK ON YOUR CARE
POST TREATMENT DATA COLLECTION AND ASSESSMENT IS PERFORMED AFTER THE TREATMENT WAS TERMINATED
PRACTICING METICULOUS INFECTION CONTROL TO PREVENT HEALTHCARE ASSOCIATED INFECTIONS (HAI'S) IN DIALYSIS PATIENTS IS OF UTMOST IMPORTANCE BECAUSEKIDNEY FAILURE WEAKENS A PERSON'S IMMUNE SYSTEM, MAKING THESE PATIENTS MUCH MORE VULNERABLE TO INFECTIONS /INFECTIONS ARE THE SECOND MOST COMMON CAUSE OF DEATH IN THIS POPULATION /THE HEMODIALYSIS PROCEDURE REQUIRES PROLONGED ACCESS TO THE PATIENTS BLOOD/ ALL OF THE ABOVE
SEIZURES AS A SIDE EFFECT OF DIALYSIS CAN BE CAUSED BYSEVERE HYPOTENSION
SUMMARIZING DURING REFLECTIVE LISTENINGINCLUDES THE MAIN ASPECTS OF WHAT THE PATIENT SAID DURING THE ENTIRE COMMUNICATION.
THE ACRONYM DARN STANDS FORDESIRE ABILITY REASON NEED
THE BEST WAY TO HELP PATIENTS SUCCESSFULLY CHANGE BEHAVIORS INSPIRE BEHAVIOR CHANGE THROUGH SUPPORT COMPASSION AND EMPATHY
THE DEFINITION OF HEALTH LITERACY INCLUDES THE DEGREE TO WHICH INDIVIDUALS UNDERSTAND BASIC HEALTH INFORMATION
THE DEFINITION OF HYPOTENSION IS SYSTIOLIC BP LESS THAN 90 DIASTOLIC BP LESS THAN 60 OR A SUDDEN DROP IN SYSTOLIC BP OF MORE THAN 20 MMHG
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Section 6

Question Answer
THE FIVE CATEGORIES IN THE KDQOL 36 HELP THE SOCIAL WORKER INENTIFY ROOT CAUSES OF BARRIER TO PATIENTS TO SUCCESSFULLY ADAPT TO KIDNEY FAILURE AND DIALYSIS / COMPILE THE RESULTS AND DEVELOP INTERVENTIONS AND GOALS WITH THE PATIENTS / ALL OF THE ABOVE.
THE KDOQI RULE OF 6'S PROVIDES GUIDELINES FOR USE OF A NEW AV FISTULA
THE NEPHROLOGIST HAS ORDERED THE USE OF HEMOSTATIC SPONGES, SUCH AS SURESEAL FOR YOUR PATIENT. WHAT IS THE CORRECT PROCEDURE WHEN USING THESE SPONGES? REMOVE THE HEMOSTATIC SPONGE AFTER HEMOSTASIS HAS BEEN ACHIEVED AND DRESS THE NEEDLE SITES WITH STERILE GAUGE OR BAND AID.
THE NEPHROLOGIST ORDER A BFR OF 300 FOR A PATIENT WITH A TWO MONTH OLD AV FISTULA. WHAT NEEDLE GAUGE WOULD BE APPROPRIATE FOR THIS BFR? 16 GAUGE
THE NURSE'S AND PCT'S ROLE IN ANEMIA MANAGEMENT INCLUDES AVOID REPEAT LAB DRAWS
THE RIGHTING REFLEX IS DEFINED AS THE AUTOMATIC INTERVENTION OF A HEALTHCARE PRACTITIONER WHO OBSERVES A PATIENT DOING SOMETHING DETRIMENTAL TO HIS HEALTH.
THE SIGN THAT JNUMBING HAS TAKEN EFFECT AND IT IS TIME TO STOP SPRAYING PAIN EASE ONTO VA CANNULATION SITES IS BLANCHING OF THE SKIN.
THE THREE CORE COMMUNICATION SKILLS USED IN MOTIVATIONAL INTERVIEWING ARE ASKING LISTENING INFORMING
THE THREE STEPS IN COMPLETE ACCESS ASSESSMENT ARE LOOK LISTEN FEEL
THE WAITING TIME AFTER ADMINISTRATION OF THE INITIAL HEPARIN LOADING DOSE PRIOR TO INITIATION OF HEMODIALYSIS IS 5 MINUTES
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Section 7

Question Answer
TO DECREASE THE RISK FOR INFECTION KDOQI INCLUDES THREE STRATEGIES IN ASEPTIC TECHNIQUE WHEN CARING FOR A PATIENT WITH A CVC, THEY ARE USING FACE MASKS WHEN CVC LUMENS OR THE EXIT SITE ARE EXPOSED WEARING CLEAN GLOVES AND AVOIDING TOUCHING EXPOSED SURFACES AND MINIMIZING THE TIME THAT THE CVC LUMENS OR EXIT SITE ARE EXPOSED .
TO PREVENT THE FORMATION OF ANEURYSMS AND PSEUDOANEURYSMS THE FOLLOWING SHOULD BE PRACTICED GOOD NEEDLE SITE ROTATION AND COMPLETE NEEDLE SITE CLOTTING TECHNIQUES
ULTRAFILTRATION IS DEFINED AS CONTROLLED FLUID REMOVAL BY MANIPULATION OF HYDROSTATIC PRESSURE
V-TAGS FOR CMS SURVEYS STATE SPECIFIC REGULATIONS TO BE MET WITHIN A CONDITION SUCH AS INFECTION CONTROL PROVIDE INTERPRETIVE GUIDANCE FOR EACH REGULATION AND CITE DEFICIENCIES BY TAG NUMBER. HOW CAN KNOWLEDGE OF THESE V-TAGS AFFECT THE PRACTICE OF PATIENT CARE PROVIDERS?PROVIDE PATIENT CARE WITHIN CMS CONDITIONS FOR COVERAGE / UNDERSTAND ROTIONALIES FOR SPECIFIC REGULATIONS AS OUTLINED IN THE INTERPRETIVE GUIDANCE / ASSIST IN THE DEVELOPMENT OF POLICIES AND PROCEDURES / ALL OF THE ABOVE.
WAITING LONGER THAN 15 SECONDS BETWEEN LOWERING THE BLOOD PUMP SPEED AND DRAWING THE POST TREATMENT BLOOD SAMPLE WOULD CAUSE THE KT/V READING TO BE FALSELY LOW.
WHAT COMPLICATION OCCURS IF BLOOD IS EXPOSED TO DIALYSATE THAT IS TOO HOT? HEMOLYSIS
WHAT COMPLICATION WOULD YOU EXPECT TO SEE IF A PATIENT IS EXPOSED TO CHLORINE/CHLORAMINE? HEMOLYSIS
WHAT DOES CKD-MBD LEAD TO? ABNORMALITIES IN CA PO4 PTH AND VITAMIN D METABOLISM WITH SOFT TISSUE CALCIFICATION AND BONE DISEASE
AN INTERVENTION FOR MUSCLE CRAMPS THAT IS NOT RECOMMENDED ISTURNING THE UF OFF. (NEVER TURN THE UF OFF)
AN OPTIMAL NUTRITION STATUS IS EVIDENCED BY A STABLE DESIRABLE TARGET WEIGHT ADEQUATE FAT STORES AND MUSCLE MASS, APPROPRIATE APPETITE AND IN TAKE AND A SERUM ALBUMIN OF EQUAL TO OR GREATER THAN 4 GM/DL
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Section 8

Question Answer
AT WHAT TIME DO YOU PERFORM WATER HARDNESS TESTING? AT THE END OF THE TREATMENT DAY
ATTEMPTION TO REMOVE A LARGE AMOUNT OF FLUID WEIGHT GAIN FROM THE PATIENT CAN LEAD TO HYPOVOLEMIA DURING THE TREATMENT WHICH IS ASSOCIATED WITH AN INCREASED MORTALITY RATE
ATTENTION TO INFECTION CONTROL PROPER HAND HYGIENE CLEANING AND DISINFECTION PROCEDURES ARE OF UTMOST IMPORTANCE INTHE DIALYSIS SETTING. WHICH OF THE FOLLOWING STATEMENTS IS TRUE? VIABLE MRSA BACTERIA CAN REMAIN ON SURFACES FOR DAYS WITH PLASTIC AND VINYL BEING MOST FAVORABLE TO THEIR SURVIVAL.
CKD-MBD IS TREATED WITH PHOSPHATE BINDERS VITAMIN D (HECTOROL) AND SENSIPAR
CONVECTION IS DEFINED AS SOLUTES ARE DRAGGED ACROSS THE SEMIPERMEABLE MEMBRANE ALONG WITH FLUID
DIFFUSION IS DEFINED AS PARTICLES MOVE FROM AN AREA OF HIGHER SOLUTE CONCENTRATION TO AN AREA OF LOWER SOLUTE CONCENTRATION.
DOCUMENTATION IN THE MEDICAL RECORD PROVIDES PROOF THAT CARE WAS RENDERED
DQI SUCCESS IS ACHIEVED BY MANAGING INDIVIDUAL PATIENTS FIRST AND ALLOWING SCORES TO FOLLOW / KNOWING EACH TEAM MEMBER'S ROLE IN IMPROVING DQI SCORES / USING THE CQI PROCESS TO HELP IDENTIFY TRENDS AND MAKE IMPROVEMENTS / ALL OF THE ABOVE
EDUCATIONAL TIPS FOR AUDITORY LEARNERS INCLUDE USING WORD ASSOCIATIONS AND MNEMONICS
EDUCATIONAL TIPS FOR KINESTHETIC LEARNERS INCLUDE TAKING SHORT BREAKS AND ALLOWING YOUR PATIENTS TO GET UP AND WALK AROUND
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Section 9

Question Answer
FOR HOW LONG MUST THE RO SYSTIEM BE RUNNING PRIOR TO THE FIRST CHLORINE/CHLORAMINE TESTING OF THE DAY TO AVOID A FALSE NEGATIVE RESULT? 15 MINUTES
GLOVES ARE AN ESSENTIAL PART OF HAND HYGIENE. WHAT IS THEIR FUNCTION? GLOVES REDUCE THE RISK OF HAND CONTAMINATION AND PREVENT THE TRANSFER OF ORGANISMS ALREADY ON THE HANDS.
WHICH OF THE FOLLOWING FACTORS WOULD INFLUENCE THE K OF THE KT/V FORMULA? ADEQUATE ANTICOAGULATION
WHICH OF THE FOLLOWING IS A BASIC PRINCIPLE OF PATIENT SELF-MANAGEMENT? DEALING WITH THE CONSEQUENCES OF ILLNESS RATHER THAN JUST THE PHYSICAL DISEASE
WHICH OF THE FOLLOWING IS A DATA COLLECTION? LISTENING TO POPPING SOUNDS WHEN THE PATIENT INHALES
WHICH STATEMENT IS TRUE REGARDING LATE ENTRIES? THE NOTATION " LATE ENTRY" MUST BE INCLUDED EITHER DIRECTLY BEFORE OR AFTER THE NOTE OR DATA ENTRY
WHICH STATEMENT IS TRUE REGARDING THE "REASONABLE AND PRUDENT" STANDARD OF CARE? WHEN SUPERVISING PATIENT CARE TECHNICIANS AND OTHER NON-LICENSED PERSONNEL IT IS THE RESPONSIBILITY OF THE LICENSED NURSE TO ENSURE THESE TEAMMATES ALSO MEET THE STANDARD OF CARE
WHICH STATEMENT IS TRUE REGARDING THE STAGES OF GRIEF? SOME PEOPLE CAN GET STUCK IN A STAGE.
WHICH TEST IS TO BE PERFORMED MONTHLY ON PATIENTS SUSCEPTIBLE FOR HEPATITIS B? HBSAG
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Section 10

Question Answer
WHY SHOULD THE PATIENT BE IN A COMFORTABLE SUPINE POSITION WHEN YOU PERFORM PRE-DIALYSIS CVC CARE? THE SUPINE POSITION INCREASES BLOOD FLOW THROUGH THE CATHETER AND DIMINISHES THE RISK OF AN AIR EMBOLISM.
WITHIN DAVITA THE STANDARD OF CARE IS DEFINED BY DAVITA'S CLINICAL POLICIES AND PROCEDURES
YOU ADMINISTER A 100 ML SALINE BOLUS TO YOUR PATIENT DURING THE TREATMENT. WHAT WOULD BE IMPORTANT TO INCLUDE IN YOUR DOCUMENTATION? THE REASON FOR ADMINISTERING THE SALINE AND THE PATIENT RESPONSE.
YOU LISTEN TO YOUR PATIENT'S AV GRAFT AND HEAR A WHISTLING SOUND THIS COULD BE INDICATIVE OF AN OUTFLOW STENOSIS
YOUR IMMEDIATE INTERVENTION FOR A PATIENT EXPERIENCING AN ANAPHYLACTIC REACTION IS STOP THE BLOOD PUMP DISCONTINUE THE TREATMENT DO NOT RETURN THE BLOOD
YOUR PATIENT COMPLAINS OF PAIN AT THE VENOUS NEEDLE SITE TINGLING AROUND THE LIPS AND DIFFICULTY BREATHING. THESE ARE SIGNS AND SYMPTOMS OF A DISINFECTANT INFUSION
YOUR PATIENT COMPLAINTS OF DRY ITCHY SKIN YOU WOULD ADVISE HER TO USE HYPER-FATTED SOAPS AND LOTIONS
17G 200-250 ml/min
16G 250-350 ml/min
15G 350-450 ml/min
14G >450 ml/min
FOR NEW CANN OF AVF P&P 17G NEEDLE FOR CANN BFR NOT TO EXCEED 250 ML/MIN
FOR NEW CANN OF AVF P&P 16G NEEDLE FOR CANN BFR NOT TO EXCEED 350 ML/MIN
FOR NEW CANN OF AVF P&P 15G NEEDLE FOR CANN BFR NOT TO EXCEED 450 ML/MIN
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