NURSES: WHAT TO EXPECT WITH INPATIENT DIALYSIS PATIENTS - Your questions answered
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- čas přidán 17. 08. 2024
- WHAT TO EXPECT WITH YOUR INPATIENT DIALYSIS PATIENTS
ESRD: End Stage Renal Disease or Chronic Kidney Disease Stage 5
*ESRD patients need dialysis to Live*
GFR: Glomerular Filtration Rate -- Key lab value used by provider to determine diagnosis of ESRD
Confession Time: I was an inpatient nurse for 8 years, and the only thing i really new about dialysis patients is that I had a 50% chance they would be gone for half the day.
I didn't know really what dialysis did. We can all agree dialysis nursing did not get much time in nursing school.
Agenda Items:
1) K (Potassium Removal) - Dialysis patient retain Potassium. Potassium is lethal if too high, Dialysis is amazing at lowering potassium.
2) Urine Output/Production -Ask the patient what is normal for them
3) Ph (Phosphorus Removal) - Low Phosphorus diet and binders are key here for patients with high phosphorus levels
Phosphorus Binders: Calcium Acetate (Phoslo), Sevelamer (Renvela, Renagel), Calcium Carbonate (Tums). MUST BE GIVEN WITH FIRST BITES OF FOOD. If not eating or NPO - OK to hold Binders. Not sure, ask your patient (document: not given per patient, patient not eating)
4) Epo Production - Hormone that stimulates production of red blood cells. The kidney's make this!! ...until they don't.
Urine Output: If it is normal for them not to make urine, document that in a comment when you document their output for your shift. (per pt, does not make urine, dialysis patient, anuric, etc.).
But...some Dialysis patients still make urine. Especially Peritoneal Dialysis Patients :)
Blood Transfusions and dialysis - Sometime they cannot be avoided. If they are having symptoms of low blood pressure, fatigue, vertigo. ESRD patients working with a transplant team have blood work sent to the transplant team every month. One of the questions when collecting the labs is: Did you receive a blood transfusion?
Other need to know 2 things about Dialysis Patients in the inpatient setting:
1) Anything you need to know about dialysis patients, the dialysis patient will tell you. (do you make urine, what day is your dialysis, is this a normal weight for you? Are you short of breath? )
2) All dialysis patients need dialysis to stay alive, but they all present differently. Enjoy the visuals!
00:00 Kidney's on Strike
01:19 Dialysis Confessions
02:09 Agenda Items
02:35 Dialysis Patient #1
04:35 Dialysis Patient #2
05:55 Dialysis Patient #3
06:05 Dialysis Patient #4
08:20 Nursing Orders to Expect
08:55 AKI - Not the same as ESRD
09:20 Bubba
DISCLAIMER: This video is intended for education purposes only and is not intended as medical advice
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✍✍✍**Notes in Description** ✍✍✍
Your meeting is genius ! Love your creative teaching style.
Thank u!
Bedside nurse here, I love your videos! You inspire me to make a change!
Ohh good!! Thanks for watching 🥰
Dialysis Nurses Supporting Nurses Facebook Group: facebook.com/groups/215559410197295
I am a nephrology nurse and this lesson is absolutely great. I forgot some of this stuff
Awesome, thank u for this 🤗 💜
This is such an informative primer for the job i hope to be doing soon. Thank you!
I hope so too! Thank u!
That was a great video, I learned a lot! Thanks
Awesome, and thank u for watching 🙏
Great video! Thank you for your great explanations. Will share this video with a nurse friend who is thinking about switching to Dialysis :)
Thanks Claudia!!!! 🤗
Wow this video is gold. Thank you !
Thank u so much!
Thank you for your insight in dialysis.
🌍Dialysis nurse from Philippines
You are welcome!! 🥰
The Philippines! That is so cool!!! 😎 I appreciate u and ur support!
We have so many traveling dialysis nurses from Philippines here in America. Come join. Pay is way better they tell me 😉
Hey friend could you pls inform the technique to take blood specimen at dialysis for 3 month or 6 month test??
Love this idea!!! 💡
So, if a person requires dialysis to live according to a diagnosis then if they miss for a week twice a month and actually lose weight and get dehydrated and when they return have less fluid on them than the last visit…. Would you not question the diagnosis? Or if when they go regularly they are so sick with cramping and dehydration on the days in between they cannot walk yet they are well when they miss, would that not raise some questions?
I so sorry Patty this is not something I can speak to, but I would suggest a conversation with your care team (care conference, nurse, provider, social worker, dietitian) to discuss what this person is experiencing and come up with a plan of care that will enhance quality of life 🤗
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You have a dead gremlin behind you... omg and look at all that unused cabinet space. Omfg.
Old lady Bubba Gremlin