worldnurse

Latest Activity

1. Munchausen Syndrome by Proxy

   worldnurse replied to Saoudishabiba's topic in General Nursing

   Hi! How fun! I don't often think of this anymore but it was sure an exciting experience in my nursing life and one of the big challenges. I had a Munchausen patient when I was working in a Pulmonary Acute Unit in my home country. I have to say, it t...

2. Normal saline rinses: yes or no

   worldnurse replied to AraratRN's topic in Urology

   I have a patient who was put on Coumadin because she clotted her graft so much between treatments. I have never heard of this being done for patients who clot during treatments, but unless it's contraindicated it might be something to at the very lea...

3. UF Profiling

   worldnurse replied to SotaRN's topic in Urology

   UF modeling is used at my unit. I do it only for some patients who have problems with "plain" dialysis without any interventions and I don't like seeing old unique orders for it unless it is actually used. There were plenty when I started but I have...

4. Normal saline rinses: yes or no

   worldnurse replied to AraratRN's topic in Urology

   I often wonder the same thing when my patients clot away in spite of painstaking flush after flush. Here's a link to a sience article that confirms it doesn't seem to work very well for stable patients at least. http://ndt.oxfordjournals.org/cgi/con...

5. why turn off uf?

   worldnurse replied to yvonne b's topic in Urology

   At my company it is not allowed to turn off UF. I have been taught that it could cause a backflow with fluid from the dialysate going TO the patient just like ch10 was saying. Our minimum rate is 300cc/hr. If the pts BP is really low and he or she i...

6. Sodium Profile

   worldnurse replied to SugarHanie's topic in Urology

   NephroBSN! Since I have used sodium modeling infrequently, I'm now very curious.... what will a sodium profile 155 to 140 do to a person? How does it alter the pressure and how are the fluid gains between the runs and the patients subjective experien...

7. Sodium Profile

   worldnurse replied to SugarHanie's topic in Urology

   Hi! It seems to me there are "fads" in dialysis and that sodium modeling is one of them. A while back my company did a lot of sodium modeling as a means to keep BPs up during the runs. However, the overall opinion was that the fluid removal that was ...