i recently started working in a small dialysis unit and i am still in training. we have a patient that is frail, weak andallergic to heparin. he very rarely finishes a treatment due to clotting the chambers and the inability to rinse back!! did i mention he was allergic to heparin!!!
any tricks of the trade that i could use and pass along to my fellow nurses on the floor???
We have a pt on my unit he is allegic to heparin. What we do with him i do not understand his allergy to be honest. We prime his lines and kidney with 1lt N/Saline and 5mls of heparin and bleed him out. When his blood get to the V.Chamber thats when we connect him and we do hourly flushes with N/Saline he does not clot at al. The other thing that can be done is to increase the pump speed.
question for your experienced minds!!!!
ngingi
33 Posts
Hie
We have a pt on my unit he is allegic to heparin. What we do with him i do not understand his allergy to be honest. We prime his lines and kidney with 1lt N/Saline and 5mls of heparin and bleed him out. When his blood get to the V.Chamber thats when we connect him and we do hourly flushes with N/Saline he does not clot at al. The other thing that can be done is to increase the pump speed.