I know that if a person is crashing or cramping etc that it is acceptable to turn the uf off until the patient is stabilized then turn it back on. My question is can you leave the uf off for an extended amount of time without having any harmful effects or decreasing clearance? A lot of nurses that have many years experience say not to but there are doctors now that say it is ok. Can anyone explain the different reasonings for this?
I am fairly new to dialysis (9 months now), but at our clinic, as well as in our acutes department, we are never to turn the UF completely off. The minimum we can go is 300 ml/hr. and if that is not sufficient to stop the cramping or hypotension we give fluid back. It would take someone with more experience than me to give you the rationale behind that policy, but at no time do we ever completely turn off the UF, even if we are not to remove any fluid. We simply set the UF rate to 300 and return whatever we remove.
Last edit by westieluv on Feb 19, '14