diabo

diabo RN

hemo and peritoneal dialysis

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All Content by diabo

  1. running antibiotics into a permacath?

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

    There will sometimes be emergencies where the catheter must be accessed. Sometimes they are accessed in the ambulance, or during a code, or in the ER. Had one today in ICU; 24 year old sickle cell,...

  2. My daughter's GFR is 4! HELP!

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

    The surgeons should be able to bring the fistula closer to the surface, (which would require another surgery) In the mean time is there no hemocath access? Sounds like she needs dialysis now while...

  3. Religious preferences of patients in dialysis

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

    Dear Mehgan, The scriptures, from what I've studied, arent specific enought to rule out the use of porcine heparin. In hind sight, we now know how much desease undercooked pork can have, so the law...

  4. Driving and HD

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

    Our clinic has several that drive to and from txs. There shouldn't be a problem if the patient is stable during treatment and especially when leaving. One of our 48 year olds continues to opperate a...

  5. Skin of Dialysis patients

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

    This lady may have really needed a bath, but what appeared to be dirt on your washcloth could have been the black skin that was sluffing off. Some of the darker races' skin will turn darker after...

  6. Braun Machines & Reverse UF

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

    We've had some problems in the past and finally narrowed it down to constrictions in the drain lines in the wall. In our case it was due to buildup of biofilm. Nowadays most engineers overkill on...

  7. Rinsing Of Dialysis Machines Everyday?!?

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

    Portable ROs need rinsing daily for ten minutes or more. Endotoxin formation is subtile and of course won't show up on the routine cultures 'cause they aren't alive. Machines need at least a rinse and...

  8. flipping needles

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

    Sometimes the needle, arterial or venous, becomes lodged in the underside of the vessel or in another part, depending on the configuration, and the flow becomes restricted regardless of the backeye....

  9. clearance, URR, Kt/v

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

    sorry, I did mean lower. I corrected it, thanks.

  10. clearance, URR, Kt/v

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

    Urea reduction ratio, (URR) as well as Kt/V can both be poor indicators as to how healthy the patient really is, as was mentioned in the recent conference in San Francisco. If a very noncompliant...

  11. New to Dialysis-feeling discouraged

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

    There are some days we can't seem to see the forest for the trees, and other days, we can't seem to see the trees for the forest. If I get too hung up on the details, I work like a snail. If I...

  12. Anyone got their CDN certification

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

    That book is very good, especially the anatomy and physioliogy section. The questions are good in the back, too. A little too much info though for the test I took. (There are more than one test...

  13. Anyone got their CDN certification

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

    OK, Just passed my CDN with a 99

  14. Anyone got their CDN certification

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

    I took it in San Francisco the day before the conference two weeks ago. Waiting for the results.

  15. Normal saline rinses: yes or no

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

    We use Citrasate for the acid portion when heparin is contraindicated. Works quite well and does not raise the calcium level in the patient. Some boluses may still necessary in some instances. The...

  16. critical situation

    diabo posted a topic in Dialysis, Renal, Urology

    I learned a new trick the other night. I was called to ICU at midnight to run an out of town dialysis patient that was in trouble. Small thirty year old. She was very close to being intubated, and...

  17. Tunnel Catheter Repairs in the Chronic Unit

    diabo replied to KAT1994's topic in Dialysis, Renal, Urology

    I did it once and mechanically it's quite simple. Kind of like replacing the end of a garden hose with a small insert. Got my hand slapped too by our manager even though the nephrologist and the...

  18. Is it common for dialysis to be put on hold?

    diabo replied to dawnb70's topic in Dialysis, Renal, Urology

    We tend to see kidney function return more in an acute setting, but I've seen it with a few of our chronic patients. The kidney sometimes shuts down due to various reasons such as severe burns, heart...

  19. Anticougulation during dialysis

    diabo replied to lobelin2004's topic in Dialysis, Renal, Urology

    You only need an infusion pump if you infuse post blood pump. Pre pump drip rates can be calculated like we learned in school waaaaay back there.

  20. Questions

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

    Our Doctor doesn't allow clamps. Some accesses require more or less pressure than others depending on lots of things like size, configuration, age, B/P, diet, PT&PTT, and more. He says clamps...

  21. Do you use 2 Bags of NS or 1?

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

    Always go by the manufactures guideines sent in every box of kidneys. Many say 1/2 bag heparinized, then dump the prime, or one full bag plain

  22. Maximum UF limit for hemo patients

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

    Lots of things go into the mix, but the ultimate decision should be yours (and the doctor's). A bigtime crash can result in long term problems for the patient, and I'm sure in his lawsuit he will...