Certified Hemodialysis Technician Practice Exam 2025 – All-in-One Guide to Exam Success

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What does the "sieving coefficient of the membrane" indicate?

Rate of blood flow through the vascular access

Fraction of the solute that passes through the membrane by convection

The sieving coefficient of a membrane is an important concept in the context of dialysis, as it quantifies the effectiveness of the membrane in allowing certain solutes to pass through while retaining others. Specifically, the sieving coefficient indicates the fraction of a solute that successfully permeates the membrane during the dialysis process, primarily through the mechanism of convection, which is driven by pressure gradients.

A higher sieving coefficient means that a larger fraction of the solute can pass through the membrane, making it critically relevant for understanding how well the dialysis treatment will remove specific toxins or metabolites from the blood. This property plays a significant role in determining the efficiency of dialysis, particularly for substances that need to be cleared from the blood to maintain patient health.

In contrast, while factors like the rate of blood flow, the resistance of the dialysis fluid, and the volume of ultrafiltrate produced are important parameters in dialysis treatment, they do not directly relate to the concept of how effectively a membrane allows specific solutes to pass through it. Therefore, understanding the sieving coefficient is pivotal for both the design of dialysis treatments and the clinical management of patients undergoing such procedures.

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Level of resistance of the dialysis fluid

Volume of ultrafiltrate produced

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