What should EVERY nurse know about Dialysis - page 2

by Twink 63,409 Views | 59 Comments

I am a dialysis nurse turned home care nurse...live in a rural area that recently has had a dialysis center open (I work there PRN). With this opening the local home care agency has seen an influx of dialysis patients...and due... Read More


  1. 8
    No - eating on dialysis causing shunting of the blood to the GI tract which results in barfing and barfing, and hypotension, diaphoresis.

    Bad idea.
    Anna S, RN, FransBevy, thetalker, and 5 others like this.
  2. 3
    no eating on the machine!! lol. I don't want to watch you puke and cramp and pass out.
    FransBevy, thetalker, and rubichick like this.
  3. 3
    Twink (or traumaRUs), would you consider writing an article on this and submitting so it's viewed by more nurses?
    Knowledge is power, and all that.
    FransBevy, martinalpn, and traumaRUs like this.
  4. 0
    Twink - what about you? Dianah has a good idea - have you got time?
  5. 0
    Some dialysis units let patients eat, others do not. As far as eating foods with potassium, phosphorus, etc. I would certainly have the Dietician go over the diet with the patient. It is very important because it has alot to do with the bath also. Alot of nephrologists, I have found, will leave the bath at 2K and it gives the pt more leeway to eat certain potassium food, esp if the patient loves food wtih potassium in it.
  6. 3
    This is not sound medical practice. Pts should adhere to a low K+ diet because if there are unforeseen events and they miss dialysis, they can and do die of hyperkalemia.

    I know of no nephrologist or mid-level worth their salt who would advocate a 1k bath just because a pt wants to consume high-K+ food.

    You are just asking for a lawsuit.
    Last edit by traumaRUs on Nov 18, '10 : Reason: Fixed my mistake
    FransBevy, rubichick, and NRSKarenRN like this.
  7. 2
    I will work on something. I am going to inservice my fellow home care associates on the basics of care for the home care dialysis patient, gathering as much feed back as possible.
    FransBevy and traumaRUs like this.
  8. 0
    Quote from traumaRUs
    This is not sound medical practice. Pts should adhere to a low K+ diet because if there are unforeseen events and they miss dialysis, they can and do die of hyperkalemia.

    I know of no nephrologist or mid-level worth their salt who would advocate a 3k bath just because a pt wants to consume high-K+ food.

    You are just asking for a lawsuit.


    A 3k bath is not a low k bath. A 1 k bath is.
    ( Only commenting to prevent confusion.)
  9. 0
    Ooops - my mistake - shouldn't type when I'm tired.

    Yes, a 1k+ bath is low potassium, a 3k bath is the highest potassium bath.

    Sorry for the confusion.
  10. 2
    When patients are on dialysis they should not eat. Choking is a big concern. Doing the Heimlich on a patient strapped to a dialysis chair while watching the needles is not a good idea. Secondly, during dialysis your blood pressure drops naturally due to fluid removal and lower volume in the body. If you eat, digestion will cause the blood pressure to dip down further. Turning the UF (fluid removal) off when the blood pressure crashes is counterproductive to treatment.
    tickledpink and carolannRN2012 like this.


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