Chisca RN

Dialysis

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All Content by Chisca

  1. Chisca

    Certification in Continuous renal replacement therapy

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

    I don't know of any certification but there is a great seminar given every year in San Diego. Convince your employer to pay for you to attend. Welcome - CRRT
  2. Chisca

    Medical errors the 3rd leading cause of death??

    Chisca replied to ShaneTeam's topic in Nursing News

    Rule #6 House of God. "There is no body cavity that cannot be reached by a 14g needle and a good strong
  3. Chisca

    Need help in Checking Water, etc

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

    The Association for the Advancement of Medical Instrumentation (AAMI) governs water standards for dialysis and for a mere 205 dollars they will sell you the brochure that contains them. AAMI Publishes...
  4. Chisca

    CRRT and mobility

    Chisca replied to dec2007's topic in MICU, SICU

    The patient is on CRRT because he is too unstable for regular hemodialysis. The fact that it is run through an extracorporeal blood circuit should also cause you to
  5. Chisca

    High K question

    Chisca replied to floridaRN38's topic in Dialysis, Renal, Urology

    You found out the hard way that glucose is easly removed by dialysis due to its small molecular size. Dialysis solutions used to contain 200mg/dl in glucose but with "tight" glucose regimens being all...
  6. Chisca

    Hemodialysis Nurse : Forced to work overtime or face abandonment?

    Chisca replied to Nurse Beth's topic in Career Advice Column

    Right to work state means no labor laws. You would sooner win the lottery than win a labor dispute against an employer in
  7. Chisca

    High K question

    Chisca replied to floridaRN38's topic in Dialysis, Renal, Urology

    4K+ bath is good but if their serum bicarb is 18 and your machine is set for 33 that is going to cause a rapid change in PH driving the serum potassium down. Fresenius was involved in a recall over...
  8. Chisca

    High K question

    Chisca replied to floridaRN38's topic in Dialysis, Renal, Urology

    An acidotic diabetic with a borderline low K+. As you correct the acidosis with hemodialysis the potassium level falls. Throw some insulin in the mix and
  9. Chisca

    Question About Returning to Dialysis

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

    I've never worked for either one so I can't say which is better. Keep focused on what matters to you and which ever one hits the most of your needs go with that. I'm so lazy I always work at the place...
  10. Chisca

    Question About Returning to Dialysis

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

    The difference between management and leadership. What she really was saying is you are expendable and any warm body will do. I read in your posts a love of nursing but a fear of crawling back in to...
  11. Chisca

    How can transplant centers improve relationships with dialysis centers?

    Chisca replied to Loves2scrub's topic in Dialysis, Renal, Urology

    Find out when the next local ANNA chapter meeting is and ask if you can
  12. Chisca

    High K question

    Chisca replied to floridaRN38's topic in Dialysis, Renal, Urology

  13. Chisca

    High K question

    Chisca replied to floridaRN38's topic in Dialysis, Renal, Urology

    He will be fine until dialysis can be done. Kayexalate carries a risk of bowel ischemia. D50w/insulin will drive the potassium back into the cell and calcium gluconate offers cardiac
  14. Chisca

    High K question

    Chisca replied to floridaRN38's topic in Dialysis, Renal, Urology

    With or without EKG changes? Anything above 6 gets my attention but tall, tented T waves with a high potassium level make me
  15. Chisca

    Elevated Troponin in presence of Renal Failure

    Chisca replied to Jlucasrn92's topic in Dialysis, Renal, Urology

    High UF rates associated with elevated troponins. High Ultrafiltration Rates Increase Troponin Levels in Stable Hemodialysis Patients - Abstract - American Journal of Nephrology 216, Vol. 43, No. 3 -...
  16. Chisca

    Hemodialysis Nurse : Forced to work overtime or face abandonment?

    Chisca replied to Nurse Beth's topic in Career Advice Column

    As long as everyone is profiting nothing will change. The nephrologist makes money on a patient he didn't have to get out of bed to see. The hospital charges for an emergent treatment ($2.300) that...
  17. Chisca

    How much lifting in Dialysis?

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

    I can only speak to acute dialysis in a hospital setting. Not much lifting of patients but a lot of pushing dialysis machines to patients rooms, bending down and sideways to make water connections,...
  18. Chisca

    Patients declining certain staff to take care of them

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

    The probable answer to his cramping is longer treatment times or an extra treatment or three but instead he blames you. I think it's called
  19. Chisca

    Help. Acute dialysis nursing

    Chisca replied to laureneve91's topic in Dialysis, Renal, Urology

    If this isn't part of every acute dialysis job description it needs to
  20. Chisca

    ICU Patient Ratios

    Chisca replied to Misnim's topic in Critical Care

    "Acuity can be defined as the measurement of the intensity of nursing care required by a patient. An acuity-based staffing system regulates the number of nurses on a shift according to the patients'...
  21. Chisca

    My husband doesn't want me on ALLNURSES

    Chisca replied to Kitiger's topic in General Nursing

    I have had my fellow felines tell me that everyone on the internet is a dog but I don't believe
  22. Chisca

    Too Old to Enter Critical Care Nursing?

    Chisca replied to Fiddlesticks27's topic in Critical Care

    The average age for a RN in the US is 47. Over the next 20 years, the average age of the RN will increase and the size of the workforce will plateau as large numbers of RNs retire. Because demand for...
  23. Chisca

    ICU Patient Ratios

    Chisca replied to Misnim's topic in Critical Care

    What kind of acuity system is used to determine the staffing
  24. Chisca

    Elevated Troponin in presence of Renal Failure

    Chisca replied to Jlucasrn92's topic in Dialysis, Renal, Urology

    Frequent Hemodialysis Schedules Are Associated with Reduced Levels of Dialysis-induced Cardiac Injury (Myocardial
  25. Chisca

    Elevated Troponin in presence of Renal Failure

    Chisca replied to Jlucasrn92's topic in Dialysis, Renal, Urology

    Myocardial stunning also occurs during dialysis treatments due to the large volume changes that occur and the drop in blood pressure. 1/3 of all dialysis treatments will involve hypotension as fluid...