Dialysis and matching simulation

Open your materials, follow the steps, then turn in your work.

Simulate dialysis and HLA crossmatching to model how patients are kept alive and matched.

Before lab work: Read the safety rules below and wait for your teacher’s approval. You may read the directions while you wait.

1. Open your materials

Use the materials named in the first step below. Open lesson resources.

2. Start the work

Read the simulation protocol in the PLTW course shell and define dialysis and crossmatch.

Show all 6 required steps
  1. Read the simulation protocol in the PLTW course shell and define dialysis and crossmatch.
  2. Run the dialysis model and record how waste levels change across the session.
  3. Compare donor and recipient HLA cards and score each crossmatch as compatible or not.
  4. Flag any crossmatch that predicts rejection and explain why.
  5. Record your dialysis and matching results in the simulation data table.
  6. Submit your completed simulation results.

Lost your place? Reopen today's Dialysis and matching simulation record. Find the last completed evidence ID, check it against the claim ceiling, and continue with the first unfinished step rather than restarting the whole task.

Check your work before submitting

  • You'll be able to model how dialysis lowers blood waste.
  • You'll be able to score an HLA crossmatch and predict rejection risk.

Before lab work: read the safety rules

  • All simulations are virtual; no physical biological materials or chemicals are used.
  • Ensure your device is charged and connected before beginning the timed simulation.

3. Turn in your work

DueCheck Schoology
Hand in
Simulation data table: dialysis waste-level time series, HLA crossmatch scores for each donor-recipient pair, and rejection-risk flags with explanations.
How to submit and name your file

Use the submission route shown on today's today's page.

In Schoology, open your course and the assignment for this lesson. Attach your file, select Submit, and check that it appears in the submission.

PDF upload help

You get two school days for every day you were absent, so this deadline moves with you.

How this lesson connects

Keep using what you learned last class: A defensible biomedical decision separates scientific evidence from value judgments, identifies who may benefit or be burdened, and states the uncertainty and tradeoffs that remain. Today: Organ-replacement decisions integrate organ function, compatibility, urgency, expected benefit, risks, and organ-specific allocation rules rather than relying on one laboratory value or matching feature.

Optional: listen or watch a unit review
Optional unit study notebook
When an organ fails: transplants, the fair waiting list, why the body can reject a new organ, and growing replacement tissue in the lab.
Open the notebook
Optional review video
Video overview
Need help? Warm-up, timing, and directions

💡 Big idea: Organ-replacement decisions integrate organ function, compatibility, urgency, expected benefit, risks, and organ-specific allocation rules rather than relying on one laboratory value or matching feature.

  1. 0-8Read simulation protocol; define and
  2. 8-30Run virtual model; record waste levels at each time point
  3. 30-52Compare donor/recipient HLA cards; score all crossmatches
  4. 52-62Flag incompatible crossmatches; write explanation
  5. 62-72Complete simulation
  6. 72-80Submit results to the class site; async post if remote
Mr. Mendoza's 5-minute intro
  • keeps the patient alive; HLA matching decides whether a transplant will be rejected.
  • Today you model both, using virtual tools, so you can see the data behind clinical decisions.
  • These are VIRTUAL simulations done from your computer, so treat the simulator data as real lab data.
  • Simulation data recording is a Lab SOPs skill directly tested on the WebXam.
Know by the end
  • Hemodialysis passes blood across a semipermeable membrane to remove waste by diffusion.
  • HLA antigens on cell surfaces are the primary targets of the recipient's immune system after transplant.
  • A positive (antibodies react with donor cells) predicts high risk and usually disqualifies the donor.

PLTW connection and today's work

Open Activity 4.3.1 Who Should Receive the Organ? in myPLTW, then complete the virtual dialysis and HLA crossmatch simulation.

Today's stopping point: Nephron diagram should be done (Tuesday); dialysis and HLA simulation data table due today.

PLTW activity titles identify the course connection. If your account will not open, use the posted materials for today and tell Mr. Mendoza. Do not mark an online activity complete unless you completed it.

Course connection

  • Activity 4.3.1 Who Should Receive the Organ?
Open Activity 4.3.1 Who Should Receive the Organ? in myPLTW

Use the turn-in directions at the top of this page. Do not create a second submission unless your teacher asks for one.

Show another explanation or a smaller first step

Need help? Choose a starting point

Run the lab
Complete the assigned Simulation data table: dialysis waste-level time series, HLA crossmatch scores for each donor-recipient pair, and rejection-risk flags with explanations., cite at least two evidence IDs, apply the reviewed rule, and name one limitation.
Missed class? Start here
Use the sentence frame: E1 shows ____. E2 helps explain ____. Therefore I can claim ____, but I cannot claim ____.

Finish the assigned lab safely before starting extra practice.

Lesson resources: reading, slides, and vocabulary
Socratic teaching slide deck

The deck carries the prior idea forward, lets you inspect an analogy, maps the rule to biology, and ends with the same evidence decision and exit ticket used on this page.

Generated from this lesson's canonical data with a red-team citation check.

Carry forward

A defensible biomedical decision separates scientific evidence from value judgments, identifies who may benefit or be burdened, and states the uncertainty and tradeoffs that remain.

Daily take-home

Organ-replacement decisions integrate organ function, compatibility, urgency, expected benefit, risks, and organ-specific allocation rules rather than relying on one laboratory value or matching feature.

Inspect the analogy

A review board sorts scientific evidence, stakeholder needs, possible benefits, possible burdens, and uncertainty before choosing a policy.

  1. Which statements are scientific evidence?
  2. Which statements express a value or priority?
  3. Who receives the benefit and who carries the burden?
Rule

Use science to estimate consequences, then state the value judgment and tradeoff that determine the decision.

Where it breaks

A review-board model organizes reasoning but does not make one ethical principle automatically outweigh every other principle.

Map the analogy to biology
  • Evidence cards map to source-backed findings.
  • Stakeholder cards map to affected people and priorities.
  • The recommendation maps to an explicit tradeoff with a named uncertainty.
Read this first

Driving question: Simulate and HLA crossmatching to model how patients are kept alive and matched.

What you already know: A defensible biomedical decision separates scientific evidence from value judgments, identifies who may benefit or be burdened, and states the uncertainty and tradeoffs that remain.

New idea: Organ-replacement decisions integrate organ function, compatibility, urgency, expected benefit, risks, and organ-specific allocation rules rather than relying on one laboratory value or matching feature.

Visual or model: F1. F1. A lesson illustration or teaching diagram for Dialysis and matching simulation. Use it with E1-E3; it is a model or context image, not experimental or patient data. What to notice: Trace the labeled testing, treatment, or biological process and identify where evidence limits the decision.

  1. Observe or measure the relevant feature in today's lesson.
  2. Organize the observation with a stable evidence ID.
  3. Apply this rule: Use science to estimate consequences, then state the value judgment and tradeoff that determine the decision.
  4. Choose the option the evidence supports and state the limit of the conclusion.

Real biomedical example: Today the medical interventions team uses and matching simulation to make a bounded evidence decision. A classroom simulation omits many clinical and allocation variables and cannot rank or recommend care for real patients.

What the evidence supports: E1-E3 and F1 support the daily take-home when the response meets the stated success criteria.

What it cannot prove: The package does not support claims beyond this lesson's or any real patient diagnosis.

Vocabulary:
  • : The kidney's microscopic filtering unit that cleans the blood, reabsorbs needed substances, and forms urine.
  • : A process that filters waste and excess fluid from blood across a semipermeable membrane, used clinically when the kidneys cannot do this job.
  • HLA: Human antigens, proteins on cell surfaces that mark cells as self, helping the immune system spot foreign cells and guiding transplant matching.
  • : A lab test that checks whether a recipient's immune system will attack a donated organ by mixing recipient serum with donor cells.
  • : The immune system's attack on a transplanted organ or that it recognizes as foreign rather than part of the body.
  • : A reduced ability of the immune system to fight infection, caused by disease, medication, or treatment such as after an organ transplant.

Use it now: Choose one decision option. Cite E1 and E3, then explain how the rule connects the evidence to your choice.

Go further, optional: The source links below are optional enrichment. Every fact required for today's local evidence decision appears in this lesson package.

Evidence set and decision
E1 · Source fact

Health Resources and Services Administration is the source this lesson's claim is checked against: How Organ Allocation Works

Limit: A classroom simulation omits many clinical and allocation variables and cannot rank or recommend care for real patients.

E2 · Teaching model

Use science to estimate consequences, then state the value judgment and tradeoff that determine the decision.

Limit: A review-board model organizes reasoning but does not make one ethical principle automatically outweigh every other principle.

E3 · Task criterion

You can model how lowers blood waste.

Limit: E3 defines the classroom product or success criterion. It is not independent scientific evidence and cannot justify a clinical or causal claim.

PLTW-GEND-2026-12-15 · Simulated classroom evidence scenario

Your role: medical interventions team member

Decision: Your team must decide what the evidence from today's lesson supports before submitting the labeled and result claim named on today's page.

  • Ask whether scores like ours actually predicted in real transplants, because our simulation never checks its own prediction.
  • Judge the simulated match using function, compatibility, urgency, and risk together instead of leaning on one score.
  • Trust the simulation's clean result, since a well run model gives an answer good enough to rank real patients.

Response: State one choice, cite at least two evidence IDs, explain the rule that connects them, and add one limitation. Submit it as the labeled and result claim.

Claim ceiling: Today's evidence supports a classroom claim about today's lesson. It cannot prove causation, diagnose a real patient, or justify action outside this room.

Composite case file · PLTW-GEND-2026-12-15

Reason for review: Your team must decide what the evidence from today's lesson supports before submitting the labeled and result claim named on today's page.

Context: Today the medical interventions team uses and matching simulation to make a bounded evidence decision. A classroom simulation omits many clinical and allocation variables and cannot rank or recommend care for real patients.

Timeline:
  • T1: Read the simulation protocol in the PLTW course shell and define and .
  • T2: Run the model and record how waste levels change across the session.
  • T3: Compare donor and recipient HLA cards and score each as compatible or not.
  • T4: Flag any that predicts and explain why.
  • T5: Record your and matching results in the simulation .
  • T6: Submit your completed simulation results.
Evidence records:
  • E1: Health Resources and Services Administration is the source this lesson's claim is checked against: How Organ Allocation Works
  • E2: Use science to estimate consequences, then state the value judgment and tradeoff that determine the decision.
  • E3: You can model how lowers blood waste.

Measurements: Use only the measurements, units, graph, or counts supplied in today's task. No additional patient measurement is implied.

Figure finding: Teaching diagram for and matching simulation. Trace the labeled testing, treatment, or biological process and identify where evidence limits the decision. This is a teaching model, not patient or experimental data.

Uncertainty: This is a composite classroom scenario. Missing history, measurements, or confirmation tests remain unknown and limit the conclusion.

Math moment
Formula or setup

Rate or percent = part / comparison total x 100%. Percent change = (new - comparison) / comparison x 100%.

Worked parallel example

If 18 of 60 records meet a condition, the frequency is 18 / 60 x 100% = 30%.

Units and reasonableness

Name the comparison total. A percent describes the supplied group and does not automatically predict an individual's outcome.

Try it with today's data

Use today's supplied counts to calculate one rate, risk, frequency, or percent change. Show the denominator and interpretation.

Watch the trap

Students often think A polished answer about and matching simulation is trustworthy even when its evidence source, comparison, or limitation is missing.. The trap: Presentation quality cannot raise the evidence level. A classroom simulation omits many clinical and allocation variables and cannot rank or recommend care for real patients.

Worked example · a parallel case (guides, does not reveal)
Dialysis and crossmatch results table
Completes: Records a data table showing how modeled blood-waste levels drop across a dialysis session, scores each donor-recipient HLA crossmatch as compatible or not, and flags crossmatches that predict rejection with a short reason.

Dialysis waste-level time series (recipient R):

  • Start (0 min): urea 110 mg/dL
  • 60 min: urea 78 mg/dL
  • 120 min: urea 51 mg/dL
  • 180 min: urea 33 mg/dL
  • 240 min: urea 22 mg/dL

Reading: Dialysis pulled urea down from 110 to 22 mg/dL over four hours, modeling how the machine does the filtering the failed nephrons cannot.

HLA crossmatch scores (recipient R vs three donors):

  • Donor A: 5 of 6 antigens match, no reaction in the well = COMPATIBLE
  • Donor B: 3 of 6 match, weak reaction = BORDERLINE
  • Donor C: 1 of 6 match, strong reaction = INCOMPATIBLE

Rejection-risk flags:

  • Donor C flagged: a strong crossmatch reaction means the recipient already has antibodies against the donor tissue, so the immune system would attack the kidney quickly.

(Tip: a positive or strong crossmatch reaction is a stop sign, not a detail; it predicts fast rejection even if a few antigens match.)

Why this matters

This model shows the level of evidence and organization needed to complete: Records a data table showing how modeled blood-waste levels drop across a dialysis session, scores each donor-recipient HLA crossmatch as compatible or not, and flags crossmatches that predict rejection with a short reason.

Build yours step by step
  1. Name the variables and include units.
  2. Enter observations without changing the raw values.
  3. Check labels, calculations, and patterns before interpreting the data.
Change it for a new task

Keep the structure. Replace the question, facts, measurements, and evidence. Then recheck units, vocabulary, and whether the conclusion goes beyond the evidence.

Also due today: turns in the completed simulation table on Schoology under today's data-table assignment.

See the full worked example
Portal terms
CER:
Claim, Evidence, Reasoning: make a claim, back it with evidence, explain your reasoning.
SOP:
Standard Operating Procedure, the exact steps to follow (especially in a lab).
Tracker:
Your PLTW progress log where you record completed evidence.
myPLTW:
The PLTW course site where you do the online activities. Find it in Clever with your Microsoft sign-in, right next to Schoology.
This unit's vocabulary
/NEF-ron//dy-AL-ih-sis/(Human Leukocyte Antigen)

Tap the speaker to hear a term. Add two of these to your notebook glossary with a definition and an example in your own words.

Build your vocabulary · optional, for extra credit

Pick just 2 or 3 words from today and make them yours: write what each one means in your own words, name the context clue or evidence that helped, then give one example from what you actually did in Dialysis and matching simulation. Try your own words first; the glossary is there if you get stuck. This is voluntary and counts as extra credit, so keep it short.

nephron
dialysis
HLA
crossmatch
rejection
immunosuppression

Saved on this device. Show Mr. Mendoza or add these to your notebook glossary to claim the extra credit.

Teacher-posted resources

Classroom documents for this lesson are posted in Schoology. Open Clever, then Schoology, and find each one by the name shown on its card.

Extension / challengeFor: Ready to go deeper
MI 4.3 Transplant Progress Tracker & Study Guide
worksheet/handoutPosted in Schoology
Open in Schoology

Use this for optional reserve or extra-credit work after the required class lesson is complete.

Placement rationale

Matched Transplant matching and allocation ethics by path:Medical-Interventions/Unit-4_When-Organs-Fail/4.3_Transplant; keywords:transplant, hla, allocation, organ. Score 158. Visibility: student-schoology (student-facing resource; link through Schoology rather than local path).

Extension / challengeFor: Ready to go deeper
MI 4.3.1 Organ allocation ethics scenarios
worksheet/handoutPosted in Schoology
Open in Schoology

Use this for optional reserve or extra-credit work after the required class lesson is complete.

Placement rationale

Matched Transplant matching and allocation ethics by path:Medical-Interventions/Unit-4_When-Organs-Fail/4.3_Transplant; keywords:transplant, allocation, organ. Score 146. Visibility: student-schoology (student-facing resource; link through Schoology rather than local path).

Extension / challengeFor: Ready to go deeper
MI 4.3.1 Who Should Receive the Organ activity
worksheet/handoutPosted in Schoology
Open in Schoology

Use this for optional reserve or extra-credit work after the required class lesson is complete.

Placement rationale

Matched Transplant matching and allocation ethics by path:Medical-Interventions/Unit-4_When-Organs-Fail/4.3_Transplant; keywords:transplant, allocation, organ. Score 146. Visibility: student-schoology (student-facing resource; link through Schoology rather than local path).

Sign in to Clever with your district Microsoft account to open Schoology or myPLTW. Follow today's posted steps. If myPLTW will not open, use the posted alternative and tell Mr. Mendoza. Turn in your completed work through the Schoology assignment.

Practice: try a question, then check your answer

Claim ceiling for this check: Today's evidence supports a classroom claim about today's lesson. It cannot prove causation, diagnose a real patient, or justify action outside this room.

Quick self-check · commit, then reveal

A student makes a certain conclusion about Dialysis and matching simulation from one classroom result. What must the student add before the conclusion is defensible?

How sure are you?

Write an answer and pick a confidence to unlock the key.

Cumulative WebXam review · flash practice

Fast retrieval with instant answers, not the commit-then-reveal check above. Try each from memory first: write what you remember about the earlier units, then check yourself here.

Tap an answer to check it · nothing is recorded or graded
[Review: From Biopsy to Plan: Treating Cancer] A tumor suppressor gene that cannot correct damage will trigger apoptosis. Apoptosis is
[Review: When Organs Fail: Unit 4 Overview and Final Closeout] Vertical gel electrophoresis (SDS-PAGE) is used at the end of protein production in order to
[Review: Building a Gene Factory: Cloning Basics] Transformed bacteria are plated on agar containing an antibiotic because the plasmid also carries an antibiotic-resistance gene. This step
Dialysis is an artificial process that is used when the kidneys fail. Its purpose is to
Missed class or ready for more?
🔬 Pre-lab simulation

Run this before you touch the bench. It is built from the real lab procedure, so the decisions you make here are the ones you will make with the equipment in your hands.

Minimally Invasive Surgery: Laparoscopic Skills
Open the simulation →
Lab · prepare, conduct, complete
1Prepare
Pre-lab pass · clear all six to go to the bench
0/6

I can name the virtual station sequence and evidence. My device and connection are ready. My data table is open before I start.

Finish the checklist before you handle any material.

Bring / set up
Computer or tablet with internet access for virtual dialysis and HLA simulatorsPrinted or digital HLA donor/recipient card sets (from course shell)Simulation data table printout or digital formPencil or digital annotation tool
Safety · specific to today's hazards
  • All simulations are virtual; no physical biological materials or chemicals are used.
  • Ensure your device is charged and connected before beginning the timed simulation.
Review Lab Safety (rules, PPE, SDS, emergencies) and check your contract + test
2Conduct (Argument-Driven Inquiry)
  1. 1Read the simulation protocol in the PLTW course shell and define dialysis and crossmatch.
  2. 2Run the dialysis model and record how waste levels change across the session.
  3. 3Compare donor and recipient HLA cards and score each crossmatch as compatible or not.
  4. 4Flag any crossmatch that predicts rejection and explain why.
  5. 5Record your dialysis and matching results in the simulation data table.
  6. 6Submit your completed simulation results.
Prepare this data table before materials are handled
Trial or sample IDIndependent conditionMeasured result with unitsObservation before interpretationQuality-control note
     
     
     
MedlinePlus: Dialysis
3Complete
Argue from your evidence, then compare what you predicted to what happened. Error analysis names a specific method limit, never "human error".
You predicted

Before the procedure, predict the result and cite the rule behind the prediction.

What actually happened

After the procedure, compare the result with the prediction and name one limitation or source of uncertainty.

Your lab report is graded on the rubric below, with extra weight on error analysis and method.
Where this leads: careers

What today's skills lead to. These are real health-science careers this course builds toward. Tap one to see, on the US Department of Labor's O*NET site, what the job actually involves, what it pays, and how fast it is growing.

What to do if you were absent
Today was a lab: do this instead

Complete the virtual and HLA- simulation linked on the class site, recording waste-level changes and match scores, then submit your simulation .

MedlinePlus: Dialysis

Use the submission route shown on today's today's page.

If MR. MENDOZA is absent

Class still runs. Complete the online activity above (it's self-guided). Need the concept taught without a teacher? Use this authoritative explainer:

MedlinePlus: Dialysis
Optional extra credit (async)

You've passed Unit 2, so the optional extra-credit track is open. Complete reserved-unit work from home, including virtual labs, for extra credit. Each item shows its correct submission route.

Open the extra-credit track
How this is graded
For: Data table: Simulation data table: dialysis waste-level time series, HLA crossmatch scores for each donor-recipient pair, and rejection-risk flags with explanations.
  • Complete
    Every required part of the artifact is present, nothing left blank.
  • Accurate
    The science and the data are correct and match the evidence.
  • Scientific reasoning
    You explain your claim with evidence and reasoning (CER), not just an answer.
  • Professional communication
    Clear, organized, labeled, and written the way a clinician or scientist would.
  • Submitted
    Go to Schoology to turn this in. Submit one PDF. Put your first and last name in the document header. Name the file: FirstName LastName - Assignment Title - YYYY-MM-DD.pdf. If you cannot get in, see Mr. Mendoza. Do not skip the work.
  • Error analysis and method · counts double
    Name a specific limit of the method and how it moved your result, and compare what you predicted to what happened. "Human error" does not count; say what about the procedure or instrument caused it.