What should EVERY nurse know about Dialysis - Page 2Register Today!
- Nov 12, '10 by GeauxNursingno eating on the machine!! lol. I don't want to watch you puke and cramp and pass out.
- Nov 14, '10 by traumaRUsTwink - what about you? Dianah has a good idea - have you got time?
- Nov 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.
- Nov 16, '10 by 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 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
- Nov 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.)
- Nov 18, '10 by traumaRUsOoops - 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.
- Nov 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.