Chisca RN

Dialysis

Member

  • Content

    745

  • Visitors

    15,752

  • Followers

    0

  • Likes

    40

All Content by Chisca

  1. Chisca

    Administering Vancomycin via venous chamber

    Chisca replied to reginalin's topic in Dialysis, Renal, Urology

    You have to increase the pressure limit on the IV pump to overcome the pressure in the venous chamber. Some pumps can't. The arterial side has negative pressure so it isn't a problem if you run it on...
  2. Chisca

    Am I the only one who thinks this is an accident waiting to happen?

    Chisca replied to Alex Egan's topic in Dialysis, Renal, Urology

    The patient's serum potassium plus the potassium of the bath you are using divided by 2 gives you a rough guess at what the potassium level is at the end of the treatment. Let's use a serum K of 4 as...
  3. Chisca

    when is the best time to do ECG for dialysis patient

    Chisca replied to uae808's topic in Dialysis, Renal, Urology

    Annual EKG. No chest pain. Why muddy the water with what a dialysis machine does to your electrolytes by getting an EKG after a treatment? Clinics only check chemistry panels once a month and although...
  4. Chisca

    when is the best time to do ECG for dialysis patient

    Chisca replied to uae808's topic in Dialysis, Renal, Urology

    Severe hypokalemia masquerading myocardial ischemia. Severe Hypokalemia Masquerading Myocardial Ischemia | Petrov | Cardiology
  5. Chisca

    Please Don't Judge Patients

    Chisca replied to NurseLife88's topic in Patient, Colleague Relations

    I'll consider that the next time a patient threatens to punch me in the face because I ask them to not cover their dialysis access. When I should be calling the police and having them
  6. Chisca

    CRRT and mobility

    Chisca replied to dec2007's topic in MICU, SICU

    Fresenius CRRT machines have a manual hand crank to return the blood to the patient in case of power failure. I would be surprised if other companies machines don't have a similar
  7. Chisca

    albumin and hypotension

    Chisca replied to zzyzx's topic in Critical Care

    Liver failure patients have low BPs because they have low systemic vascular resistance due to the hepatic congestion. Albumin would increase the preload but that isn't the
  8. Chisca

    "Observed" urine drug screen

    Chisca replied to thisgirldrums's topic in General Nursing

    The negative drug screen doesn't rule out the possibility that the person isn't stealing and selling the drugs. You are always assumed to be guilty until proven
  9. Chisca

    DaVita New Grad questions

    Chisca replied to pmabraham's topic in Dialysis, Renal, Urology

    Get it in
  10. Chisca

    Acute renal failure alert?

    Chisca posted a topic in Dialysis, Renal, Urology

    I was on call this weekend and was paged at midnight for a patient who needed emergent dialysis. Septic, acidotic and on 90 mcgs of levophed. The patient had been in the hospital for 5 days and on...
  11. Chisca

    Acute renal failure alert?

    Chisca replied to Chisca's topic in Dialysis, Renal, Urology

    My favorite internet nephrologist is not impressed by alerts for acute kidney injury. Precious Bodily Fluids: When a non-clinician tells you AKI is simple, prepare for
  12. Chisca

    terminated from FMC

    Chisca replied to Healerforlife's topic in Dialysis, Renal, Urology

    So your employer never trained you and then held you accountable? Apply for another job, be honest, and if you are not hired I would contact a lawyer. The only thing your employer can legally say is...
  13. Chisca

    3 Strike Rule: Non-Compliant Patients

    Chisca replied to cocoa_puff's topic in Patient, Colleague Relations

    Why do you hate
  14. Chisca

    Dialysis and H&H

    Chisca replied to JonSnowedSRNA's topic in Dialysis, Renal, Urology

    Hemodialysis is only able to remove fluid from the blood. As that fluid is removed it is replaced by fluid from the tissue, where the majority of the fluid in the body resides. If the HCT is drawn...
  15. Chisca

    Acute renal failure alert?

    Chisca replied to Chisca's topic in Dialysis, Renal, Urology

    [TABLE=width: 100%] [TR] [TD=width: 86%][h=1]Acute Kidney Injury Electronic Alert for Nephrologist: Reactive vers[/h][/TD] [/TR] [/TABLE] Acute kidney injury electronic alert for nephrologists....
  16. Chisca

    Experienced RN new to HD Sad and discourages.

    Chisca replied to Melissaharvey913's topic in Dialysis, Renal, Urology

    Let us know how it works out for
  17. Chisca

    Experienced RN new to HD Sad and discourages.

    Chisca replied to Melissaharvey913's topic in Dialysis, Renal, Urology

    You have identified the problem and it is not you. Depending on how much you want this dictates your next move. Unless you just can't stand it I would stick with it. I have yet to meet the nurse that...
  18. Chisca

    The Law School Problem (oversupply)

    Chisca replied to AAC.271's topic in Nurse Practitioners, NP

    I'm more afraid of robots than H1 visa
  19. Chisca

    What Kind of Threads Do You ENJOY Reading?

    Chisca replied to VivaLasViejas's topic in General Nursing

    Cats. Anything to do with
  20. Chisca

    Apheresis exp. required for Inpatient Dialysis RN?

    Chisca replied to CCK RN's topic in Dialysis, Renal, Urology

    Can you find out the name of the supervisor of the acute unit and schedule an interview? My boss would hire you in a second as she is trying to crosstrain the hemo nurses to the apheresis unit that...
  21. Chisca

    Breakroom refrigerator theft

    Chisca replied to Emergent's topic in General Nursing

  22. Chisca

    Any tips for graft?

    Chisca replied to heronurse's topic in Dialysis, Renal, Urology

    This.
  23. Chisca

    Being bought by DaVita,,,,help!!!!

    Chisca replied to nlhrn's topic in Dialysis, Renal, Urology

    Pirate hats. Not sure if you have to talk like a
  24. Chisca

    Chronic Patient Dilemma

    Chisca replied to westieluv's topic in Dialysis, Renal, Urology

    I'd try longer treatment
  25. Chisca

    Chronic Patient Dilemma

    Chisca replied to westieluv's topic in Dialysis, Renal, Urology

    If you set his UF rate to 8cc per kilo per hour how long would his treatment