student60

Latest Activity

1. chest pain

   student60 posted a topic in Urology

   What would cause a patient to have chest pain a few hours post dialysis? We have discussed this and our Mgr says it is not related to dialysis. One of the nurses says it is as the dialysis treatment is stressful on the heart. The patient has not had...

2. MDS Job Offer-Need Advice

   student60 replied to nursediz's topic in Geriatric

   From my experience I can tell you NEVEr salary yourself. ALso, if you go to the CMS website, there is a great MDS section now with new info on RAPS. former NH staff.... :)

3. muscle cramping/pain

   student60 posted a topic in Urology

   One of our patients experienced muscle (calf) bilateral pain, the day after dialysis, while walking. The pain increased to where she had to stop walking. DO patients have muscle pain, starting 19 hours post dialysis? She went to the ER and in ER the ...

4. TMP 2008K Machine

   student60 posted a topic in Urology

   Again I am being given different information. You all are experienced and I need your resources. Patient usually has TMPs 40 -50 with AP/VP in upper 100's (180). The other day the TMP was +10. This is first time for "+". The AP/VPs were lower 150/130...

5. use of tourniquet

   student60 posted a topic in Urology

   Do you prefer to cannulate with or without tourniquet, and why, for your preference? Do you find advantages or disadvantages?

6. Did I handle this situation wrong?

   student60 replied to Nurseinthemaking's topic in Urology

   You are a good nurse and will be throughout your career. Do not let those who do not care about patients sway you or influence you. They should be reported. keep your documentation of what happens in your unit in case something happens you have who ...

7. Anticougulation during dialysis

   student60 replied to lobelin2004's topic in Urology

   My new job is going well. We have a few patients who have had their bolus heparin decreased. One to 1K and one to 500U. Both patients continue to have minimal oozing post dialysis, several hours after treatment. I am told by one that it is due to hep...

8. exhausted wiped out post dialysis

   student60 replied to student60's topic in Urology

   Thanks. I try to be very kind and caring, not sure what I would do as a dialysis patient.

9. exhausted wiped out post dialysis

   student60 replied to student60's topic in Urology

   This particular patient urinates and a minimal amount of fluid is removed and often her pre weight is same as prior post weight or slightly higher.

10. exhausted wiped out post dialysis

    student60 posted a topic in Urology

    We have a patient who c/o being wiped out/exhausted/tired and 'feels bad' post dialysis (several hours). One nurse suggested to Doctor to increase dialysis time by 15 minutes, another said 'just happens'. Any feedback.

11. chambers on 2008K

    student60 replied to student60's topic in Urology

    Thank you. Our unit (FMC) we are told, if patient asks, to tell them it is ok at 1/2 full or less and not to worry until it is empty.

12. chambers on 2008K

    student60 replied to student60's topic in Urology

    Quite upsetting. We are told does not have to be even 1/2 full and to tell patients, if they ask, that it is ok if 1/2 full or less as long as it is not empty. FMC unit

13. dialysate prescription

    student60 posted a topic in Urology

    Do all dialysis units have routine orders for changing the dialysate prescription? What determines a change in K+. For example, at what level (K+) is the dialysate changed from 2 to 3, or 3 to 2. Thanks, like to hear what other units are doing and if...

14. chambers on 2008K

    student60 replied to student60's topic in Urology

    This is what I was originally told. 3/4 full. Now, I am being told to leave until blood gets to bottom of chamber. Is there an alarm on the K machine when the blood reaches a certain level whereby it needs to be filled? Why would the charge nurse te...

15. chambers on 2008K

    student60 posted a topic in Urology

    Hello Group Members: Can someone please tell me what is right and what should be done. I am being given different information from nurses about the chambers. First, I was told the chambers could be 1/2 full but not to let them get under 1/2 full. The...