Maximum QB for central line

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    Hi all...am wanting opinions/best practice thoughts. When dialyzing via a central line and the lines must be switched (ie: a/-v/v-a) what is the maximum blood pump speed used in your facilities? I was taught 300 ml/min but now the question arises that if the patient will get a better Kt/V with a higher pump speed should we increase it. We use the Fresenius K which monitors Kt/V online during treatment. The rationale back when I trained was that anything higher than 300 would just increase the recirculation too much. Thoughts please! Thanks.
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    You may need to ask for a HD nurses' opinion on that...I think we have a dialysis forum...if not suggest you bring this up on the General discussion Forum and in the topic specify you need a HD nurses' advice.


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