hairpair

what kind of vinegar? apple cider vinegar? and how often can the pt take it?

Thanks for all the info. We have the K machine, so after the initial heparin bolus it does the heparin automatically. When do you do the bolus? Before you put the pt on or when they are attached but before you hit the tx button ? Also, noone said anything to us about the hanson chamber. I will have to check that. Alot of the times the hanson lines are twisted, I guess that can be a problem too. And I'll have to check about the calibration. How is that done? Does that have to be done by the tech? thanks again , hairpair

For some reason I find that we don't get the same blood flow with the catheters than we did with the cobe and phoenix. So they clot more unless we give saline flushes and even then they clot. Protocol at my place is to do both tests not just the pressure tests between each pt. What do you mean by reuse? Is that when a dialyzer is reused for the pt? We don't do that, a new dialyzer is used for each pt for every tx. Another question I have is at the beginning of the tx the chambers are fine then they increase to the point that the transducers have to be changes. Is that normal? I've been doing dialysis for about 1 1/2 years and still have a lot to learn.

I've been working with the fresenius for about 1 1/2 months now. I find that there are too many lines to connect not like the cobe3 or the phoenix. I also find that it eats alot of the bicarb . And as to the sound, they are very loud and per protocol we are not allowed to lower the sound. I also find that if the arterial and venous chambers are too high at the start of tx, you will have problems thru out the whole tx. I also find it not to be catheter friendly, clots 85-90% of the time. Turnover is the pits because of the noise. We were told the fresenius would save us time between turnovers but I don't see it yet, it is the opposite. Anyone have suggestions about the fresenius?

This is my first time here. I wanted to get some info re the fresenius. My place just changed to the fresenius from the cobe3 and phoenix. I find the fresenius to be very loud. We didn't get a very good orientation on it, they figured we would learn as we go. If anyone can give me any pointers on it I would appreciate it. Thanks.