diabo

diabo RN

hemo and peritoneal dialysis

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All Content by diabo

  1. Potassium in Dialysate

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

    You are looking for mEq/Liter. Most standard baths are 2 mEq/Liter (2K). Packets from Edlaw Pharmaceuticals can be used to add to gallon jugs. Each packet will raise the potassium 1mEq/L. So each...

  2. Stereotypes

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

    We all have seen a few of these: "I wuz doin' fine til I started this dialysis thing. Shoulda never went on it in the firs place. My moma said it would jes make me

  3. Feeding patients

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

    Just have the vomit brigade ready if they eat, worse yet, the aspiration brigade. Hard candy with a stick (lollipops) is the limit in our center. No gum. Oh, I forgot to mention the increase in...

  4. no more NS at chairside!

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

    Several years ago when we moved all of our meds, including NS, to a designated medication area, we would stick a bag of NS with a fistula needle and draw from that, wiping with alcohol and re-capping...

  5. LAL and culturing machines

    diabo replied to clc123's topic in Dialysis, Renal, Urology

    Lal's monthly along with monthly cultures before disinfecting. I charge an acute unit in Georgia and love it. You can PM me if you have other questions. Congratulations. It's a great challenge and...

  6. hemolysis

    diabo posted a topic in Dialysis, Renal, Urology

    Had an interesting experience the other night. I am wondering if anyone else has encountered this. I got a patient from the OR after she had her rather large fistula declotted. I hooked her up and...

  7. dialyzable meds

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

    It depends on the kidney used. A good example is Vancomycin. High flux dialyzers will pull it off where as high efficiency ones will not. Our doctors won't use high flux for that reason. Too much...

  8. Clamping Needles Sites

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

    I mentioned the possible damage due to clot formation that can happen to a fistula in someone who is hypotensive. The other side of the coin is those that end the treatment with normal or high BP....

  9. Clamping Needles Sites

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

    The condition of the access and the patients BP are probably the two most important factors in concerning the use of clamps. Our doc won't allow them. He says they're fine for some patients, but has...

  10. dialyzable meds

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

    Hmmmmmm So it is. Must be my trifocals again. Great little free resource though. Comes in a wall poster as well as the small booklet form.

  11. dialyzable meds

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

    Try

  12. New Grad Dialysis Need Advice.

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

    Congratulations on your new RN status. I would strongly suggest a year or so in a med surg unit before transitioning to dialysis. It's by no means mandatory, and I know some great dialysis nurses...

  13. Did a dumb thing r/t dialysis port

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

    In our acute unit, we've made up a travel kit for drawing labs from the H D catheter. It has everything that is needed, (except the heparin) including a detailed policy and procedure. One of us...

  14. ima gonna be a dialysis nurse!

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

    Even though we only use RNs in out acute unit, everyone starts out on a tech level and works up through LPN level, not taking any call, then to the RN level, able to work independently. Learn as much...

  15. cannulation advice

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

    I never attach the syringe to the fistula tube until I see a good return. Check and make sure the cap is tight on the tubing before you stick. If you are in the right place you should see a nice...

  16. Povidone-Iodine breaking down CVCs

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

    Our facility has stopped using any iodine based products or alcohol. Depending on the manufactures recommendations, iodine or alcohol can eventially break down the material, including the leur lock...

  17. Giving Calcijex (Calcitriol) IV during or at end of dialysis

    diabo replied to montreal2008's topic in Dialysis, Renal, Urology

    Here it is:

  18. Peripheral IV starts in dialysis pts

    diabo replied to pm80's topic in Dialysis, Renal, Urology

    In a true emergency, timing is important, but the access arm should be used only as a last resort. Any stick could potentially effect the access, or might limit the effectiveness of a future access....

  19. Questions Fluid Restrictions Hemodialysis

    diabo replied to mrs.captain.kangaroo's topic in Dialysis, Renal, Urology

    I'm certainly not saying that most of the patients comply. On the contrary. But some do. One of our ladies has been on dialysis for 25 years. Now THERE'S some compliance for ya. Fluid overload...

  20. Questions Fluid Restrictions Hemodialysis

    diabo replied to mrs.captain.kangaroo's topic in Dialysis, Renal, Urology

    1500 cc fluid restriction applies to total liquid in any form. That should equal around 2 1/2 kgs. to be pulled off every other day, and perhaps 3 1/2 to 4 after the weekend. (Some is lost through...

  21. Dialysis?

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

    We have a woman who has been on for 25 years with the original fistula still working fine. Well developed above and below elbow. She does use a walker due to a hip fracture a couple years back, but...

  22. thick urine

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

    my guess is she thought it was water because that's what it felt like and perhaps looked like to

  23. how can I become a certified dialysis nurse?

    diabo replied to Joie777's topic in Dialysis, Renal, Urology

    Here ya go:

  24. Another Heparin Question

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

    I wouldn't hold the heparin. The reason for the surgery in the first place was probbly to declot it or to place a stent. The last thing you would want is the start of another clot. Check the INR if...

  25. Fresh Frozen Plasma During/after Dialysis

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

    I've given FFP many times during dialysis in ICU. Gave four unites during a three hour treatment once as ordered by the nephrologist. We used heparin a 1500/1500 and added the volume to the target....