paolo962000

Hello JEEE, In our center, we follow the 40mcg and 4 series rule. We give 40 mcg in one shot, given at one arm intramuscular. The rule is that if the HBS Titer count is more than 10 mIU/mL, there's no need to vaccinate. If the titer count is more than 1mIU/mL but less than 5mIU/mL, we should give booster doses. And when the titer count is 0.00mIU/mL, we should give the complete series. Series means the vaccine is given 0,1,2,6 months. This means 0 is the start, next dose is 1 month after start, then next is 2 months after the start, fourth dose is 6 months after first dose. I hope this helps. =)

Hi Sir. Some say that instilling heparin 5000 IU/mL at each of the ports will not affect the result of the INR/PT. What I do personally is I take out 5mL of the blood with the previously instilled lock then discard. Then I will assess the patency of the lumens, remove another 10 mL of blood (set aside) then finally draw the blood needed for the PT/INR. After the drawing of the bloods, I will return the 10 mL I previously took to the patient before I drew labs. I hope that helped you.

It is the standard to use the CDC guideline in dressing the HD access. For us, we change the Sterile Gauze Dressing every 48h, and those with chlorhexidine ones once weekly (7 days).