Chisca RN

Dialysis

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All Content by Chisca

  1. Chisca

    How i wish my toxic love for him is potassium.

    Chisca replied to StrawberryFlavor03's topic in Dialysis, Renal, Urology

    e.e. cummings is that
  2. Chisca

    Is Dialysis considered Critical Care?

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

    And sometimes my task is to get the ICU nurse to take care of their
  3. Chisca

    Need help with interview for a Acute dialysis RN job with limited dialysis experience

    Chisca replied to jesr24's topic in Dialysis, Renal, Urology

    The myocardial stunning and decreased blood flow to the heart are not related to dialysis blood pump speed. Drops in mean arterial pressure that up to 30% of all patients experience while on dialysis...
  4. Chisca

    Tempered water for portable RO?

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

    Our RO's have a 6 foot line from the water box to the RO. Couldn't you coil part of the line to fit in a wash basin and add hot water? Or wrap part of the incoming line in an aqua K heating
  5. Chisca

    Acute renal failure alert?

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

    [h=1]Acute kidney injury: highlights from the ERA-EDTA Congress in London , 28–31 May 2015[/h][h=2]AUTOMATED ELECTRONIC ALERTS (E-ALERTS) FOR AKI[/h]At the London Congress, there were two oral...
  6. Chisca

    How to cannulate without pain?

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

    Venous needle is removed first, then the arterial needle. The blood in the access is a mixture of arterial and venous blood because it is an artery (high pressure) connected to a vein (low pressure)....
  7. Chisca

    45x dialysate composition

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

    http://www.fmcna-concentrates.com/concentrate_new_content/best_practices/BestPracticesinDialysateComposition.pdf
  8. Chisca

    Telemetry-how do I prepare!! :/

    Chisca replied to kistigirl84's topic in Critical Care

    Rapid Interpretation of EKG's, Sixth Edition: Dale Dubin: 9780912912066: Amazon.com:
  9. Chisca

    lasix and kidney injury

    Chisca replied to lmarti10's topic in Critical Care

    My anonymous and possibly erroneous answer is that it depends on what is the underlying cause of the acute injury. Since acute kidney injury is defined by either a rise in serum creatinine or oliguria...
  10. Chisca

    Over it.

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

    A system drained of all compassion except that which you, as a nurse, can provide. Yeah, it's pretty depressing but I try to put myself in the patients place and let that guide my conduct. But even a...
  11. Chisca

    pregnant and hepatitis B

    Chisca replied to trulyblessed2's topic in Dialysis, Renal, Urology

    The isolation for hepatitis B in the dialysis unit concerns more the treatment of the machine. For the caregiver it is universal precautions with PPE based on what exposure to the patients bodily...
  12. Chisca

    UFR and adequacy

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

    The dreaded "backflow" demon. With high flux filters there is a concern that if a minimum UF rate is not set there will be some flow of dialysate into the blood circuit. Fresenius machines even have a...
  13. Chisca

    Questions about hemodialysis rinseback and post-rinseback hypertension

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

    The rinseback provides a slight increase in fluid volume in the circulatory system. Increases in volume without a decrease in vascular resistance causes a rise in pressure. This is very temporary as...
  14. Chisca

    Questions about hemodialysis rinseback and post-rinseback hypertension

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

    Renal Fellow Network: Hypertensive emergency during dialysis Renal Fellow Network: Intradialytic
  15. Chisca

    Acute renal failure alert?

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

    6 hours after the dialysis treatment the patient coded and died. Their first and last dialysis
  16. Chisca

    Acute renal failure alert?

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

    HD. K+7.3. HCO3 13. No fluid removal but the nephrologist wanted to address the acidosis as rapidly as possible. CRRT wasn't even an option as this hospital hasn't trained any of the ICU nurses to...
  17. Chisca

    Acute renal failure alert?

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

    Showed my post to one of the nephrologists and his response? The serum creatinine IS the renal failure alert. Then why do so many doctors and nurses miss
  18. Chisca

    Hypertension during dialysis

    Chisca posted a topic in Dialysis, Renal, Urology

    Interesting post over on the renal fellow blog about a pt whose HTN became worse during dialysis. 15% of all pts experience this during dialysis. Multiple causes but adjusting the current hypertension...
  19. Chisca

    How can I get experience in Dialysis Nursing?

    Chisca replied to allen80's topic in Dialysis, Renal, Urology

    Certification also requires experience. Most clinics and hospital don't want to invest in training new dialysis nurses because it can take 3-6 months to get you to the point of independence. My boss...
  20. Chisca

    Membrane size and cardiovascular status?

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

    I think it has to do with the larger surface area of the high flux dialyzers. Patients wanted shorter treatment times so filters with larger surface areas were developed. If a patient can't tolerate a...
  21. Chisca

    Dealing with mean docs

    Chisca replied to MillyPeets1234's topic in Operating Room

    In Tennessee it is legal to record a conversation as long as one party agrees. If it is legal in your state take recorded conversation and visit a lawyer. Slander and defamation of
  22. Chisca

    What is the easiest CRRT machine to use?

    Chisca replied to gest1971's topic in Critical Care

    You mean being a dialysis nurse isn't the easiest job in the world?
  23. Chisca

    Codes in outpt HDU's???

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

    There never seems to be time for it but post code reviews help clarify what could have been done differently. Clearly defined roles, who is recorder, who is pushing meds, who is managing the airway,...
  24. Chisca

    What is the standard orientation time for HD?

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

    This is called the sink or swim method of orientation. I predict 1 of the 4 nurses will survive this. Your manager will blame you for the other three failing and you will be accused of not being a...
  25. Chisca

    Chemistries during dialysis

    Chisca replied to Belle7788's topic in MICU, SICU

    Dialysis only affects those things that can pass through the dialysis filter. WBC's, red blood cells, and platelets do not pass through the filter. There might be a small variation in the HCT if a...