What should EVERY nurse know about Dialysis - page 2
by Twink, MSN, APRN, CNS | 67,740 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
- 0Nov 15, '10 by anurseadvocateSome 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.
- 3Nov 16, '10 by traumaRUs, MSN, APRN, CNS AdminThis 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
- 0Nov 17, '10 by mrwelterQuote from traumaRUsThis 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.)
- 2Nov 20, '10 by nursezillaWhen 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.