Please Join Dialysis Nurses Supporting Nurses Facebook Group! facebook.com/groups/215559410197295 We are just so much fun. You can never have too much support! Crit Line Helpful Handout: fmcna.com/content/dam/fmcna/live/support/documents/fluid-management/crit-line-iv/Crit-Line%20IV%20Patient%20Booklet-English.pdf
Hello Nurse Sippl! Im currently training to be a PCT & your videos are life saving! Really helping me connect the dots during my training. I started watching your videos from the beginning because of my OCD lol. Quick questions: So the Blood Pressure will drop automatically during dialysis because fluid is being removed but we have to make sure blood pressure doesn’t drop too much, correct? & part 2 to my question is, What are some ways that patients can help assist maintain their blood pressure before, during, & after treatments?
Amber, thank you so much for this, it warms my heart! yes,blood pressures are complicated, generally people will come in with a high blood pressure because they have extra fluid in their body, and the extra fluid will show up as edema, fluid in lungs, and vessels that are full of fluid, causing high blood pressure....
the trick is to remove fluid in a way that is safe for patients. Removing too much fluid too fast, will cause a sudden drop in blood pressure, possibly cramping, and even passing out. Research says that keeping fluid removal at or below 13 ml/kg/hr is safest for patients long term. What patients can do to prevent this is to follow their fluid restrictions, stay on the machine for their prescribed treatment time, not miss dialysis treatments, take their medications as prescribed, and high protein intake
Hi Lindsey, TKS for your video. Can I ask you that during my dialysis, after a while they always increase the UFR to pull more water, and I figure out afterward the UFR will be higher than the CMS guideline 13ml/kg/hr, sometimes even reach 18ml/kg/hr. And I am afraid I could be
So during treatment let’s say the start of Dialysis HCT is 25.5 ...during TX we would want the HCT to go towards the 30s or lower 20s? To remove fluid .
Can I ask you that during my dialysis, after a while they always increase the UFR, and I figure out will be higher than the CMS guideline 13/ml/kg/hr, sometimes even 18/ml/kg/hr. I am afraid that Myocardial stunning could be happened. Kindly pls advise. TKS again.
The Fresinius Website has a lot of great information. I'll include a link to their website/customer support. I'm thinking they will ask you about your nephrologist and what clinic/system helps you with your dialysis and go from there. fmcna.com/products/fluid-management/
@@Melivisiona Another way to help monitor fluid removal is with the blood pressure/MAP readings. I'm not as familiar with MAP but I'll do some research and work on a video about fluid removal and MAP readings. I'm sure you and your loved one are doing great! I am so proud of you for jumping in and wanting to learn everything you can. You are Awesome.
My whole commentary while watching this was..."Ohhhhhhhhhh!!!!!!" 😆
THANK YOU FOR TAKING THE TIME TO EXPLAIN THIS! ❤❤❤
Awesome!! Thank u so much!!!
Like my content and want to say thank you?! Well, I love coffee....thank you!!
www.buymeacoffee.com/DialysisLindsey
Thank you for your wonderful videos. I'm a relatively new dialysis nurse in UK. Your teaching sessions are priceless!
You are so welcome!
Thanks for this! Pls make more videos. It’s a huge help for a newbie dialysis nurse like me :)
I appreciate this John!! Thank you for your support 😃
Thank you ! I subscribed. You are a really good teacher.
Thank u toooooo!
Please Join Dialysis Nurses Supporting Nurses Facebook Group! facebook.com/groups/215559410197295
We are just so much fun. You can never have too much support!
Crit Line Helpful Handout:
fmcna.com/content/dam/fmcna/live/support/documents/fluid-management/crit-line-iv/Crit-Line%20IV%20Patient%20Booklet-English.pdf
Thank you so much for explaining very well.
Thank you❤
You're welcome 😊. and thank you too!!
Great job explaining!
Thanks Daina!! :). I appreciate this!
I’m a clin tech (dialysis nurse)student from South Africa I’m qualifying in November……I would love to move to the states and work there one day
Great video, the visuals were very helpful.
Oh good! Thanks for watching 😃
Super helpful video thanks! Look forward to viewing many more. Peace from Australia 🙂
Thank u Tara!! I appreciate this so much, working on posting the next video as soon as it uploads!! 🎈🥰
Hello Nurse Sippl! Im currently training to be a PCT & your videos are life saving! Really helping me connect the dots during my training. I started watching your videos from the beginning because of my OCD lol. Quick questions: So the Blood Pressure will drop automatically during dialysis because fluid is being removed but we have to make sure blood pressure doesn’t drop too much, correct? & part 2 to my question is, What are some ways that patients can help assist maintain their blood pressure before, during, & after treatments?
Amber, thank you so much for this, it warms my heart! yes,blood pressures are complicated, generally people will come in with a high blood pressure because they have extra fluid in their body, and the extra fluid will show up as edema, fluid in lungs, and vessels that are full of fluid, causing high blood pressure....
the trick is to remove fluid in a way that is safe for patients. Removing too much fluid too fast, will cause a sudden drop in blood pressure, possibly cramping, and even passing out. Research says that keeping fluid removal at or below 13 ml/kg/hr is safest for patients long term. What patients can do to prevent this is to follow their fluid restrictions, stay on the machine for their prescribed treatment time, not miss dialysis treatments, take their medications as prescribed, and high protein intake
I love your video. Thank.❤
Thank u!!
That was very informative. Thanks!
Oh good!! U r very welcome 😃
When checking for HGB of pt when is the best time to Extract the blood is it before dialysis or after dialysis to get accurate result..Thankyou maam❤
Am watching this while on the machine lol
😆 lol 👏 👋
Hi Lindsey, TKS for your video. Can I ask you that during my dialysis, after a while they always increase the UFR to pull more water, and I figure out afterward the UFR will be higher than the CMS guideline 13ml/kg/hr, sometimes even reach 18ml/kg/hr. And I am afraid I could be
So during treatment let’s say the start of Dialysis HCT is 25.5 ...during TX we would want the HCT to go towards the 30s or lower 20s? To remove fluid .
You Want the hct to be higher because their blood is less diluted 💦 Thanks for watching! 🙏
Towards the 30s
Thank you ! Made this so much easier !!!
@@joanasolarte6649 you are welcome, anytime 😊
Can I ask you that during my dialysis, after a while they always increase the UFR, and I figure out will be higher than the CMS guideline 13/ml/kg/hr, sometimes even 18/ml/kg/hr. I am afraid that Myocardial stunning could be happened. Kindly pls advise. TKS again.
Do you know how a home hemodialysis patient could get a crit line tx to make sure their target weight is a healthy one?
This is a great question and one I do not know the answer too... I’ll take a look at the fresinius Crit line website and get back to u 💜
@@dialysisnurselindsey thank-you for your time!
@@Melivisiona ur welcome, anytime :)
The Fresinius Website has a lot of great information. I'll include a link to their website/customer support. I'm thinking they will ask you about your nephrologist and what clinic/system helps you with your dialysis and go from there. fmcna.com/products/fluid-management/
@@Melivisiona Another way to help monitor fluid removal is with the blood pressure/MAP readings. I'm not as familiar with MAP but I'll do some research and work on a video about fluid removal and MAP readings. I'm sure you and your loved one are doing great! I am so proud of you for jumping in and wanting to learn everything you can. You are Awesome.
Interesting
Is that a fake fireplace?
🎉
thanks!!