Zeek LPN

Zeek has 40 years experience as a LPN and specializes in Nephrology/Dialysis.

Latest Activity

1. Does peritonitis have to be drained?

   Zeek replied to Matthew89's topic in General Nursing

   We have had patients with a peritoneal dialysis catheter that can be drained as well. They don't necessarily have to be on dialysis to have this type of catheter as a long term access. It is double cuffed - one cuff under the skin and one further d...

2. Anyone have an injury that took you out of nursing?

   Zeek replied to Curious1alwys's topic in General Nursing

   I had a "devastating" fracture of my femur almost 2 years ago. Then had the screw at the base of the rod break when I started walking on it which shortened my leg by 2 cm. I am in pain every day as well. I really can't do much of anything includin...

3. CRRT: Providing Optimal Patient Care

   Zeek replied to BuckeyeICUNurse's topic in Critical

   Although I have limited experience with CRRT, part of the anticoag issue is whatever the MD is comfortable with. We tend to use more citrate, but it needs to be reversed before the blood goes back to the patient which requires additional pumps, meds...

4. Continuing education in dialysis

   Zeek replied to angeliquez's topic in Urology

   You can go to the ANNA (American Nephrology Nurses Assoc.) website to find information about hemodialysis. I am not aware of anything that DaVita has for CE credits, but I know that Fresenius does offer courses as well. I work for DCI and you will ...

5. Magnesium Electrolyte

   Zeek replied to tacosforlife's topic in General Nursing

   I am in the dialysis field and we look at primarily secondary HPT. PTH secretion is tied to serum calcium levels but magnesium can exert a similar effect. Low levels (hypomagnesemia) can cause an increase in PTH secretion leading to low calcium lev...

6. Hole In My Glove!

   Zeek replied to Joe V's topic in General Nursing

   When I started in dialysis in 1985 we wore street clothes and did not use gloves. We held bleeding needle sites with just gauze and frequently had blood on our hands. Even when using a face shield, I have been splashed up under it by a wayward fist...

7. Tablo

   Zeek replied to diabo's topic in Urology

   I have heard that the blood flow only goes to 250 or 300 which is not high enough for conventional dialysis. I guess it would be OK in a hospital setting or maybe a daily home unit though.

8. What is the significant sign for clotting dialyser?

   Zeek replied to uae808's topic in Urology

   Others that have posted here are correct about the venous pressure staying the same or similar. Here is why: TMP (Transmembrane Pressure) is calculated by using the current venous pressure and the dialysate pressure (which, if pulling fluid should ...

9. I just lost it!

   Zeek replied to Joe V's topic in General Nursing

   The last time I lost it with a Nurse Manager was when she insisted I was the one responsible for all the infections in our unit. She was yelling at me and had her finger in my face at which time I told her politely to remove the finger or it would b...

10. Breakthrough

    Zeek replied to Cisum's topic in Urology

    I know that they have in the past used a lot of travel people, so you may be able to find a job in that market. I wish you luck over there!!

11. Other than Nursing, what other passions/hobbies do you like?

    Zeek replied to Convoy2022_TrumpSupporter's topic in General Nursing

    I live in Montana and have horses. They are my sanity! I can trailer 15 - 30 minutes from my house and be lost in the woods for a day! The only thing that relaxes me and makes me feel free of life's encumbrances...

12. Considering Dialysis Nursing

    Zeek replied to 6 Yrs Burn Out's topic in Urology

    I have found you will either love it or hate it. I love it because you get to know your patients and can pick up on subtle clues that you may not be able to see on the floor. I use all my assessment skills and then some for these patients. I've be...

13. New job in Dialysis!

    Zeek replied to Yellownurse15's topic in Urology

    Welcome to the family! But seriously - this company is really great to work for. I have worked in independent out patient hemo; for profit centers and hospital based units and have really been able to see a difference. I love that DCI puts profits...

14. What meds do dialysis nurses give to patients in the clinic?

    Zeek replied to MTRNlove's topic in Urology

    At most units the patients are given an ESA (Erythropoesis Stimulating Agent) which helps them to build red blood cells as their kidney no longer produces erythropoetin; IV iron products to help them make the red cells; the activated form of Vitamin ...

15. Which Nurse are You?

    Zeek replied to Guest856929's topic in General Nursing

    And you forgot to add One upper Opal - the nurse that has had whatever you or her patients have, but so much worse! This thread is awesome!!