km5v6r

km5v6r EdD, RN

Acute Dialysis

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All Content by km5v6r

  1. Why did I call the Dr?

    km5v6r replied to Holly27's topic in Cardiac

    Glad to help. Any other

  2. Alaris pumps

    km5v6r replied to deanpicu's topic in PICU, Pediatric

    We use the Alaris in our PICU and while we have had a few problems it is not many. Air in line is a pain but usually resolves once we thump out the air. Channel error rarely occurs. I am assuming...

  3. Warm Fuzzies!

    km5v6r replied to scribblerpnp's topic in General Nursing

    Professional fuzzy here. I was working my first week in PICU. Had a small child post op on the vent. Every time we turned her she would desat and set off pressure alarms on the vent. Report was...

  4. Warm Fuzzies!

    km5v6r replied to scribblerpnp's topic in General Nursing

    This is not your typical warm fuzzy but it did remind me of why I enjoy nursing. I was working as an acute dialysis nurse. I got called late at night for a new pt with an elevate potassium level....

  5. Why did I call the Dr?

    km5v6r replied to Holly27's topic in Cardiac

    The pt is having periods of 1.72 seconds between QRS complexes. If they happen frequently it can cause symptomatic bradycardia. The heart rate could slow so much it could cause the b/p to drop. The...

  6. Codes-ACLS drugs-reasons for the code

    km5v6r replied to vampireslayer's topic in Emergency

    Ok, you really need to go back to your drug book from school and look up these meds. Every med in a Code is given for a specific reason. To give meds and not know why they are given is not a good...

  7. How do I obtain training on CRRT in pediatric

    km5v6r replied to Kathyiwvu's topic in PICU, Pediatric

    looking at visiting other facilities that have a program up and running continously I think Kansas City may have some pediatric units. I don't know that anyone has pediatric CRRT running continously...

  8. How do I obtain training on CRRT in pediatric

    km5v6r replied to Kathyiwvu's topic in PICU, Pediatric

    The hospital I work at does Pediatric PD, Hemo and CRRT. I currently work in PICU but did acute dialysis here for several years. I don't know of any specific training programs but will help with any...

  9. EKG and 100 % atrial paced

    km5v6r replied to Kristi Lee's topic in Cardiac

    It depends on what type of pacer they have and how it is programed. The may have a DDD pacer meaning it can sense and pace both the atrium and ventricle. The pacer "see's" a beat. It then waits a...

  10. Acute renal failure and calcium

    km5v6r replied to abbythetabby's topic in General Students

    One of the functions of the kidney is to eliminate phospherous from the body. When renal failure occurs that ability is lost. The body attempts to bind that excessive phospherous with calcium. It...

  11. Infiltration

    km5v6r replied to BJZMom's topic in Dialysis, Renal, Urology

    Some times it does just happen. What did you do to cause the infiltration? Have you ever seen a picture of an explanted graft? I have two really good photo's of a graft that was removed after 2...

  12. Weighting diaper with stool

    km5v6r replied to AC439's topic in Pediatric

    I work in a PICU. Most of our kids are either post liver/small bowel transplant, in the evaluation process or post bowel lengthening surgery. We are obsessive about diaper counts, and weights. If...

  13. F/Cath Balloon?

    km5v6r replied to mandykal's topic in Dialysis, Renal, Urology

    You don't have to inflate it to 30ml but that is the max the balloon will hold. The large size with the larger balloon may be ordered that way if the pt is having problems with leakage or the...

  14. PBDS panic (long)

    km5v6r posted a topic in General Nursing

    I have been a nurse for over 20 years. Most of that time in ICU. This past spring I left my acute dialysis position and took a position in PICU. The PICU manager and staff had been recruiting me...

  15. Femerol Dialysis Cath and Ambulation

    km5v6r replied to keypit2yrself's topic in General Nursing

    I do know this patient had a permacath. Then it is a soft catheter that is tunneled under the skin is ment to stay in place for months and the person can be up walking around with it. And no not all...

  16. 15 minutes...attributes of perfect nurse

    km5v6r replied to TurismoDreamin's topic in General Nursing

    Flexible Teachable Compassionate Integrity Approachable Strong (in many different

  17. PBDS panic (long)

    km5v6r replied to km5v6r's topic in General Nursing

    PBDS is Performance Based Development System. It is a various videotaped senario that you are supposed to write out the diagnosis, assesment, anticipated orders and procedures all within a time...

  18. Femerol Dialysis Cath and Ambulation

    km5v6r replied to keypit2yrself's topic in General Nursing

    And I am sure she had a tunneled or perm cath placed in the femoral vein. Again these are made of a very soft silicone and are made for flexibility with a cuff tunneled under the skin to help secure...

  19. Femerol Dialysis Cath and Ambulation

    km5v6r replied to keypit2yrself's topic in General Nursing

    This site showed a tunneled perm cath. Again made of different material then a temporary cath. Instead of using the terms temporary and perm cath instead use tunneled and non-tunneled. A tunneled...

  20. Femerol Dialysis Cath and Ambulation

    km5v6r replied to keypit2yrself's topic in General Nursing

    But a thigh graft is a totally different situation. A perm cath is a totally different situation too. A graft is the hollow tube with one end sewen to the artery and one sewen to the vein. The tube...

  21. Femerol Dialysis Cath and Ambulation

    km5v6r replied to keypit2yrself's topic in General Nursing

    NO,NO,NO,NO...Every hospital I have worked in, every dialysis company I have worked for has a policy AGAINST ambulating with a temporary femoral dialysis line. Most places require the pt to be flat...

  22. Ampules still being used, Ouch!

    km5v6r replied to NurseyPoo's topic in General Nursing

    Last time I cut my thumb it was breaking open a 5 ml IV Lopressor ampule. Middle of the night, new admit from ER with an acute MI, Cardiologist at the bedside wanting Lopressor given about 5 minutes...

  23. I&O, UF rate, & CRRT

    km5v6r replied to dorimar's topic in MICU, SICU

    Sled here is set up by the dialysis nurse, water checks, bath changes etc. Maintance and hourly checks are done by the ICU nurse. If the system begins to clot or the pt is to be taken off the ICU...

  24. I&O, UF rate, & CRRT

    km5v6r replied to dorimar's topic in MICU, SICU

    The Fersenius system for CRRT is exactly like doing hemodialysis. Everything is just slowed down. You still have to monitor the Arterial and Venous pressures, TMP, etc. Large jugs of acid and...

  25. Increased fetal movement

    km5v6r replied to Lyndilu's topic in Ob/Gyn

    A nurse I worked with went through this and lost her baby near term. She was in the office waiting room with her husband for a routine visit and commented on how active the baby was, kicking etc. By...