Chisca RN

Dialysis

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All Content by Chisca

  1. Chisca

    What is the significant sign for clotting dialyser?

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

    Negative or positive not so important as stability. A fluctuating TMP that won't stay stable is your clue. Wet transducers, either from blood or saline are also going to give you unstable
  2. Chisca

    Is tape considered a restraint in this situation?

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

    In Tennessee it is as Muno describes. Procedurally
  3. Chisca

    IV Albumin administration.

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

    It would help for about 2 hours. You are dealing with a nutritional
  4. Chisca

    Acute Dialysis Nurse Opportunity Dilemma

    Chisca replied to RD2731's topic in Dialysis, Renal, Urology

    If you have a pulse and are a warm body they will hire you. No
  5. Chisca

    New RN over overtime

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

    Might want to think about plan
  6. Chisca

    Acute Dialysis as a New Grad?

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

    You have to be pretty independent to do acutes as you are called out to do ICU patients. The ICU nurse will still be responsible for patient care but it can be daunting to walk into the ICU setting...
  7. Chisca

    Dialysis and Diabetics

    Chisca replied to cslagle1989's topic in Dialysis, Renal, Urology

    Dialysis solutions used to have 200 mg/dl sugar in the dialysate bath that would somewhat protect the patient but now it is 100 mg/dl. For some patients that is not enough to protect them during a...
  8. Chisca

    Dialysis and Diabetics

    Chisca replied to cslagle1989's topic in Dialysis, Renal, Urology

    Glucose molecule slightly bigger than water molecule so sugar is easily removed during dialysis treatment. I would recommend NEVER give a patient insulin before a dialysis
  9. Chisca

    5th e-Cigarette Death Reported As Illnesses Double

    Chisca replied to J.Adderton's topic in Nursing News

    Inhaling heated gases damages your lungs? No
  10. Chisca

    nurse interview questions in nephrology

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

    They won't ask you any anatomy/physio questions. More along the lines of how long can you work without any sleep? How many days of call in a row can you take? How do you feel about caring for 12...
  11. Chisca

    First Major Mistake, Pt didn't get blood, I'm so Afraid

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

    And would they have blamed you if you fluid overloaded the patient by giving a volume expander with no way to remove the fluid? ALWAYS safer for blood to be administered during dialysis treatment to...
  12. Chisca

    First Major Mistake, Pt didn't get blood, I'm so Afraid

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

    It is a blessing you were fired because it sounds toxic where you were working. I am quite aware of my patients lab work and this dialysis knew the labs. I am also aware of any IV access or lack...
  13. Chisca

    productivity

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

    How else can you run a factory if you don't measure
  14. Chisca

    First Major Mistake, Pt didn't get blood, I'm so Afraid

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

    So in your facility only dialysis units can give blood? No IV access is a MD problem and should have been dealt with earlier in course of stay. Don't see how you are at
  15. Chisca

    Tube Feeding And Hemodialysis

    Chisca posted a topic in MICU, SICU

    Trying to determine what ICU nurses are doing with tube feeds when dialysis occurs. Hold feeds or keep them
  16. Chisca

    Tube Feeding And Hemodialysis

    Chisca replied to Chisca's topic in MICU, SICU

    https://www.jrnjournal.org/article/S1051-2276(12)00226-9/pdf
  17. Chisca

    Tube Feeding And Hemodialysis

    Chisca replied to Chisca's topic in MICU, SICU

    Thank you to KeepinitrealCCRN and MunoRN for voting, for the rest of the 311 slugs who viewed this question and didn't respond, why
  18. Chisca

    Tube Feeding And Hemodialysis

    Chisca replied to Chisca's topic in MICU, SICU

    Not specified in the standard
  19. Chisca

    Tube Feeding And Hemodialysis

    Chisca replied to Chisca's topic in MICU, SICU

    Postprandial hypotension is a drop in blood pressure after eating a meal. Stomach distension is the trigger as the body shunts blood to digest the food based on this signal. No distension and there...
  20. Chisca

    CRRT vs. CVVHD

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

    Simplest explanation? CRRT is "slow dialysis" and is for those who cannot tolerate conventional dialysis. CCRT involves slower blood flow rates, slower fluid removal, and can be either diffusion based...
  21. Chisca

    Tell me about your week in Acute dialysis.

    Chisca replied to Sabab20's topic in Dialysis, Renal, Urology

    6 minutes. I can restring a machine and have it ready for reconnection in less than 6 minutes. Sort of like the movie Uforia where the main character describes how well he can drive an 18 wheel...
  22. Chisca

    Fresenius -- Granuflo-- were patients harmed?

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

    And yet we still want to claim it's perfectly safe to check a patient's lab just once a month. And base our clinical decisions on that snapshot in
  23. Chisca

    CCRN

    Chisca replied to cardiacxo's topic in Critical Care

    The ICU is wherever the patient is at. As others have pointed out busy ERs frequently have ICU level patients waiting on a bed so why wouldn't that experience qualify? Even my acute dialysis...
  24. Chisca

    Tell me about your week in Acute dialysis.

    Chisca replied to Sabab20's topic in Dialysis, Renal, Urology

    You won't require training so acutes will hire you in a heartbeat. What they won't emphasize, as Anna S pointed out, is what happens when you work all day and take call that night? My current personal...
  25. Chisca

    Blood leak

    Chisca replied to 67karat's topic in Dialysis, Renal, Urology

    " If there is a blood leak alarm, WHERE on the dialysis machine do you check the dialysate with the test strip" Red hansen. Or the drain port for the machine. "Once you have tested positive for blood,...