student60

student60

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All Content by student60

  1. muscle cramping/pain

    One of our patients experienced muscle (calf) bilateral pain, the day after dialysis, while walking. The pain increased to where she had to stop walking. DO patients have muscle pain, starting 19...
  2. chest pain

    What would cause a patient to have chest pain a few hours post dialysis? We have discussed this and our Mgr says it is not related to dialysis. One of the nurses says it is as the dialysis treatment...
  3. MDS Job Offer-Need Advice

    From my experience I can tell you NEVEr salary yourself. ALso, if you go to the CMS website, there is a great MDS section now with new info on RAPS. former NH staff....
  4. TMP 2008K Machine

    Again I am being given different information. You all are experienced and I need your resources. Patient usually has TMPs 40 -50 with AP/VP in upper 100's (180). The other day the TMP was +10. This is...
  5. use of tourniquet

    Do you prefer to cannulate with or without tourniquet, and why, for your preference? Do you find advantages or
  6. dialysate prescription

    Do all dialysis units have routine orders for changing the dialysate prescription? What determines a change in K+. For example, at what level (K+) is the dialysate changed from 2 to 3, or 3 to 2....
  7. Did I handle this situation wrong?

    You are a good nurse and will be throughout your career. Do not let those who do not care about patients sway you or influence you. They should be reported. keep your documentation of what happens in...
  8. Anticougulation during dialysis

    My new job is going well. We have a few patients who have had their bolus heparin decreased. One to 1K and one to 500U. Both patients continue to have minimal oozing post dialysis, several hours after...
  9. We have a patient who c/o being wiped out/exhausted/tired and 'feels bad' post dialysis (several hours). One nurse suggested to Doctor to increase dialysis time by 15 minutes, another said 'just...
  10. exhausted wiped out post dialysis

    Thanks. I try to be very kind and caring, not sure what I would do as a dialysis
  11. chambers on 2008K

    Hello Group Members: Can someone please tell me what is right and what should be done. I am being given different information from nurses about the chambers. First, I was told the chambers could be...
  12. exhausted wiped out post dialysis

    This particular patient urinates and a minimal amount of fluid is removed and often her pre weight is same as prior post weight or slightly
  13. chambers on 2008K

    Thank you. Our unit (FMC) we are told, if patient asks, to tell them it is ok at 1/2 full or less and not to worry until it is
  14. chambers on 2008K

    Quite upsetting. We are told does not have to be even 1/2 full and to tell patients, if they ask, that it is ok if 1/2 full or less as long as it is not empty. FMC
  15. chambers on 2008K

    This is what I was originally told. 3/4 full. Now, I am being told to leave until blood gets to bottom of chamber. Is there an alarm on the K machine when the blood reaches a certain level whereby it...