diabo

diabo RN

hemo and peritoneal dialysis

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All Content by diabo

  1. Dialysate question

    diabo replied to Loveyourkidneys's topic in Dialysis, Renal, Urology

    Keep in mind that the dialysate solution is not sterile and should never enter the patient's

  2. Shortened TXs, elevated HRs and Hypertension - what to do?

    diabo replied to PomPomRN's topic in Dialysis, Renal, Urology

    Many anti hypertensive are pulled off during treatment. Because of that, some of these patients need a bp med like Clonidine mid tx. Also, lowering the QB to 300 and QD to 500 and raising the temp a...

  3. Dialysis nursing compatible with breastfeeding/pumping?

    diabo replied to Kellili's topic in Dialysis, Renal, Urology

    I'm sure you will earn the respect for your commitment to the little one, and to your

  4. Ultrafiltration Profiling

    diabo replied to ram_8582's topic in Dialysis, Renal, Urology

    Just make sure you have s doctor's order for the sodium deviation, because it is a medication. Our docs don't allow sodium modeling, because it can be tough on the heart, and doesn't completely clear...

  5. Patient's PD Drainage

    diabo replied to TEXASWAG's topic in Dialysis, Renal, Urology

    If the patient uses any supplies from the hospital, or if the staff takes any time with the patient, they are charged for the procedure, and therefore we are their servants, as long as we "do no...

  6. Minimum UF rate

    diabo replied to NurseRies's topic in Dialysis, Renal, Urology

    If the UF is turned off, the blood continues to run countercurrently against the dialysate so there is the same clearance. The clearance, of course, is determined by the BFR and the DFR. When you are...

  7. Thirst-Something To Think About

    diabo replied to NDXUFan's topic in Dialysis, Renal, Urology

    We use critlines in our acute unit. It's the refill that will determine the BP. Many patients don't eat enough protein, and their Albumin levels are very low. That's why the somewhat overweight...

  8. Water supply?

    diabo replied to sauconyrunner's topic in Dialysis, Renal, Urology

    It's an easy fix. Put in a request to the proper department. Most automatic sinks can be deactivated temporarly. Phoenix meter will tell the temp. I assume the dialysis nurse is checking...

  9. Dialysis bath help!

    diabo replied to Cougarstheta's topic in Dialysis, Renal, Urology

    Just ask your boss to order some 3K jugs. I assume you are talking about gallon jugs. It's probably cheaper

  10. thrill and Bruit

    diabo replied to garliene's topic in Dialysis, Renal, Urology

    You know you are a good dialysis nurse when see one of your patients in grocery store, like I did last week, and you grab her arm and begin stroking it saying, " I can feel your nice thrill." I knew...

  11. Foley insertion on a male patient

    diabo replied to divaRN*'s topic in Dialysis, Renal, Urology

    So glad I don't need

  12. You know you are a dialysis nurse when

    diabo replied to deadwylerrn's topic in Dialysis, Renal, Urology

    Or when you meet one of your patients in the check out line and start feeling his/her arm saying with a wink, " Nice thrill." Meanwhile, the other customers start begin to slowly back away from...

  13. Clarity

    diabo replied to madwife2002's topic in Dialysis, Renal, Urology

    Our center uses MIQS. Seems to work for us. Nothing is without problems though as was just

  14. what is the difference between AVF and patient 's own vascular ?

    diabo replied to rain888's topic in Dialysis, Renal, Urology

    First of all, a failed access is considered a medical emergency. The potential for declotting steadily goes down as time goes by so these patients need immediate attention to save the access....

  15. what is the difference between AVF and patient 's own vascular ?

    diabo replied to rain888's topic in Dialysis, Renal, Urology

    An AVF is the patient's own vein. It's just been arteriolized, or toughened up, by being attached to an artery, giving it a pulse with higher prressure. It usually takes six or more weeks before it...

  16. BP on dialysis vascular access arm? What happens?

    diabo replied to Trubie's topic in Dialysis, Renal, Urology

    plus the BP may not be accurate due to various circulatory reasons. We really shouldn't take BPs around the neck either. (sorry, my grand daughter makes me say silly things sometimes) {)

  17. Question about leg cramps

    diabo replied to nurscee's topic in Dialysis, Renal, Urology

    This is an interesting article.

  18. Question about leg cramps

    diabo replied to nurscee's topic in Dialysis, Renal, Urology

    Cramping doesn't necessarily mean you have reached the dry weight. Some folks can only tolerate a certain amount taken off within the treatment time. We had a muscular, non compliant patient that...

  19. Terrified of the stick :(

    diabo replied to kellyrainRN's topic in Dialysis, Renal, Urology

    It's very similar to sticking an IV, actually in many cases it's easier. Kind of the same principle only with a larger needle and a larger vein. Once you get the flash back, level off. I ease it...

  20. Anyone going to the ANNA Fall Meeting in Las Vegas (October 2010)??

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

    My boss said no, but I'd love to go. Thank you for your kind offer to buy my tickets and pay for all my meals and give me a couple hundred in spending money. Yeah, I'm a funny...

  21. LPNs in acute dialysis

    diabo posted a topic in Dialysis, Renal, Urology

    I'm looking for some regulations stating that an RN must be in the building for an LPN to run acutes alone. I thought I read somewhere that the RN had to be a nephrology nurse and not just have the...

  22. LPNs in acute dialysis

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

    There are several hospitals in my area that use LPNs for acutes and for call. Their companies state that as long as there is some sort of an "RN" in the building, they are covered. I'm looking....

  23. LPNs in acute dialysis

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

    Thanks for the help. What state are you in, I'm in

  24. Can ER doctors give dialysis orders?

    diabo replied to nursingisok's topic in Dialysis, Renal, Urology

    Yeah, we get that all the time where I work too. When I ask for complete orders like QB, DF, heparin bolus and rate, uf target, bath, they usually back down call the nephrologist. We can't " make...

  25. Potassium in Dialysate

    diabo replied to ram_8582's topic in Dialysis, Renal, Urology

    The 5 something is referring to the total amount in the jug. Somewhere on the label there should be s mEq/L amount, which is probably 2. Mix the potassium directly into the acid jug. DON'T mix it...