jlautier replied to thelittlenurs's topic in Urology
patients always have high bp's in HD.. i wait until it gets lowered as they UF to give it, and generally our docs don't care about the warning and feel the benefit (managed anemia) out ways the warning on the EPO box. I mean if someone with a hgb of ...
jlautier replied to madwife2002's topic in Urology
1: Needles remain in till the treatment is done; patients who get restless and bend their arm hand a chance at infiltrating. What happens is similar to a peripheral line except the instead of a rate of 100cc/hr; its 500cc/min; and a massive, painful,...
jlautier replied to madwife2002's topic in Urology
I want to elaborate on the HD perm catheters-- You are correct, it is a CVC like any other CVC. heparin dwells at 1,000units per ml, so don't get freaked out. The reason why nephro docs and HD rn's alike tweek about using a CVC that was inserted in...
jlautier replied to HazyAutumnStar's topic in Urology
its hard to do any nursing when sh*t is hitting the fan at your clinic. Nursing skills you speak of sound more like "tasks" urinary catheters, dressing changes, wounds, etc. Those are all tasks. Nursing skills are assessing patients and keeping them ...
jlautier replied to TheSuperNurse's topic in Urology
worth it only if you want to be an educator... no requirements at FMC to keep working, FMC doesn't assist w/ CEU cost... so screw it. it can help w/ the CAP advancement but if your charge nurse you prolly are doing enough to be an RN 3 and get the pa...
Exactly my point--you would want to check the ECG before dialysis. Following treatment, a patients K, Ca, and Na will be that of the Acid used for tx. This could hide a patients underlying rhythm. So to answer this posters question, check before not ...
ECG measures electrical activity... a high K will have implications to the ECG.. widened QRS.. more K competing for bonding sites. So TBH it does make a difference because every patient post dialysis will have a similar ECG because the blood electrol...
Similar to why if you forget labs you can't draw mid treatment. Prior to the blood hitting the dializer, the patients blood is untreated and a better indication of what a patients labs are like. 2 ECG's on the same patient will look different; QRS co...
If the patient has a CVC, recirculation will always occur because the tips of the catheter are only .1 mm appart from each other. Especially if the catheter is running reverse than a higher percentage will be recirculating during the tx. That small s...
jlautier replied to floridaRN38's topic in Urology
One time a patient had a cardiac arrest--not on treatment or at the unit--he was revived and his K was 8.5. He was dialyzed and his since returned to the outpatient setting...after a CABG x4. He told me he thought he was eating clementines--but happ...
jlautier replied to new.grad.rn's topic in Geriatric
Keep the job, broaden your search. I was there too. We all take a tour. Be a model employee. Patients first. Outpatient dialysis is the way I got out. I worked my way into acutes, and now work at a hospital. Good luck keep the faith! Organize yoursel...
jlautier replied to EiEiO_55120's topic in Urology
I too worked at a LTC facility immediately following graduation from school, even with my BSN i found it difficult to land a job in a hospital. I found the LTC place to be unorganized, unsafe, and not a place for a new grad. Luckily, i received a ca...