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changing sodium profile during treatment...
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<2L>
posted
Had a question concerning a 2008T machine. Pct was midway thru treatment using sodium program 4 when suddenly patient's bp bottomed out. The pct changed sodium to exponential program for awhile and the UF taken off became very high and the graph on the screen looked odd to her. She had a fit saying the machine was not working right and why would the machine do this and on and on and on. I tried teling her that the graph would change greatly and not return to normal program 4 looking graph. Anyways is the machine at fault or the operator? Patient bp returned to normal, treatment removed enough fluid and there is one po'd pct. Any comments?
 
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<southern tech>
posted
you should try to avoid any changes in sodium modeling during a treatment . this sounds like a case where orders where not written for the correct modeling program and your patient bottomed out .
 
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<old school>
posted
This is exactly why many Physicians do not use sodium modeling.MOST dialysis clinicians do not understand one profile from another,and end up leaving the patient with extra sodium on board and so thirsty that they drink up in the waiting room and at home.So their weight gain is still high when they return for their next treatment,Try the Crit-Line monitor which will get to a true dry weight without the hypotensive or hypovolemic events. PS Fresenius has bought Crit-line and about 82% of all dialysis clinics use some type of Fresenius machine.
 
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