rain888

Thank you Hstclair

Actually , this patient is neuropathy ,and we could not get the manual bp because the weaken sound .

which we should get more concern ? systolic or diastolic??? we have one patient came with bp 260/54mmhg ,then doctor instructed to start dialysis ,so get the point maybe only look at the diastolic ?

Sure ,I understood this is very seriou situation, actually , that patient' Vein (fistula Vein) brachial vein can't be cannulated anymore , weak bruit there, arterial side still got brill ,we cannulated one time his radial Vein for the dailysis ,then referred to vascular doctor , but it seems no disagreement from doctor ,we also submit the transonic measurement record report which showing result of 1000ml /mins with the radial using for diaylsis ..... we will stop the inproper methods ... thanks for the teaching ...

:confused:But in our DC ,we already use the uncreated vein ,like brachial vein ,because his radial vein (AVF 's V) can' t be used anymore . anther patient as well ,the brachial V (AVF) failed, no bruit ,so we attempted the radial vein ,use it untill now , what kind of the permanent damage will occur ? thanks for the direction!!

HI dear all : Can anyone kindly explain what is the difference between created avf and patient 's own vein ,i am thinking sometimes when we have cannulation problem with the vein, then we choose pt "s their own vein , still can going on dialysis, then why they need to be created AVF, they can use their own vascular ,what is the difference? Thanks for your replay!

I have one question: one of my patients lately Lab result :ALB 28 HB 14.6 ,what is the reason ? then what is the relation ship among ALB ,Protein, HB ?? thx!!

sorry !is needle

recently, we have one patient got severe hypotension ,his Bp alaway keep around 80/40 ,then we do the UF off dialysis ,even through ,sometimes infused normal saline 300-500 ml, the bp still is lowish, then his Artial access keep suctioning during dialysis ,the nurse adjusted the noodle postion ,but unforturntly the Artial was failed, no thrill and bruise at all . can anyone has experience encounter this case ,any solution can be shared ? thanks!

Thank you so much ,:heartbeattalaxandra. sorry for spelling wrong ,is calcium acitate,phosphate binder.

Hi dear all: can kindly explain my one question? one of my pt biochemistry result po4 4.9 mmol then calcium9mg/dl ,IPTH 66pm/l ,she is on ca .cacitate 1-1-1 tabs tds, then doctor change to 2-3-2 tabs tds ... thans!

In my wokeplace, same as yours,before concludsion 5--10 mins give calcijex.