jlautier

jlautier

Dialysis Acute & Chronic

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About jlautier

jlautier has 5 years experience and specializes in Dialysis Acute & Chronic.


You got to be kidney me.

Latest Activity

  1. Rookie mistakes in dialysis

    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 ...
  2. 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,...
  3. 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...
  4. Dialysis nursing, continuing ed for dialysis

    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 ...
  5. CDN worth going for?

    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...
  6. when is the best time to do ECG for dialysis patient

    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 ...
  7. when is the best time to do ECG for dialysis patient

    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...
  8. when is the best time to do ECG for dialysis patient

    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...
  9. Fizzy "Cherry Pop" Coming From Patient?

    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...
  10. High K question

    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...
  11. Shadowing in HD. New(ish) Grad.

    No matter where you start working, give it time. I've had doubts too. It gets better. Push through!
  12. New Grad on Subacute floor at LTC... need advice :'(

    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...
  13. Shadowing in HD. New(ish) Grad.

    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...
  14. Staffing

    CT: it's 10 pts to 1 RN w/ 2 CCHT or 9:1 w/ 1 CCHT and 1 PCT. Typically we turn over 4 machines a shift per staff member tho.
  15. What exactly means diuresis?

    Diuresis: increased production urine d/t a medication to increase urine production. Polyuria: is a symptom.