I Hate Dialysis Message Board
Dialysis Discussion => Dialysis: Home Dialysis - NxStage Users => Topic started by: cloud393 on September 16, 2010, 05:44:55 PM
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So I get my machine all set up, needles put in, start treatment and what? My Venus pressures almost 400! I was told it can't be over 250. I tried readjusting needle several times but no help. Only thing that would work was to turn blood pump speed down under 200. I would've been on the machine all night at that rate. Anyone else ever have this happen? What else should I have done? I just returned blood and stopped treatment.
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wow, hope ya get some answeres??
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Sometimes we would just put in another needle, but most of the time if after moving it and flipping it we just call it a day and start over the next day. Since I have buttonholes we really dont go thru that anymore.
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Not sure if this is the same but I just had this problem about a month or so ago, see my post high arterial pressure. I was at my wits end because I didn't know what was going on. I sent my husband in center for a treatment after it happened two days in a row. They had the same problem so they said we needed to go to the vascular surgeon. Until we could get the procedure done (fistualgram) I moved his arterial needle up to his venous button hole and started a new hole with a sharp for his venous. We had great pressures after that, but we still had the fistulagram done in the lower part of the vein about a week later. Now we have 3 button holes established. When it happened the fist time I ran his treatment for a little while at 200 but returned his blood because we would have been on for like 10 hours and I had to work in the am, the next day it happened again and because it would have made 3 days in a row without dialysis (we had taken the day off just prior to this happening) I returned his blood and called the center to have them so a treatment, that is when I found out it was a problem with his fistula. Good luck! I hope this helps.
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Thank you for the replies. I'll have to start a new button hole again. How fun.
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Maybe you already do this, but my husband and I didn't know about flipping the needle for a while. Once we were told to do that, we have no problems with pressures. But as I said, you probably know all that, so I guess I am not really helping
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what is flipping the needle? I've never heard thhat before.
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Sometimes when you put the needle in the "slant' cut of the needle might come to rest against the wall of the artery and it has a hard time pulling blood into it, pulling the needle back a little bit and rotating it 180 degrees, push the needle back in and it quite often cures the problem......
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Ok. I'll have to remember that although I did try pulling it out some. I started a new site tonight and didn't have any problems. Thank you Jesus.
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We have also had the pressure problems occassionally on both the arterial and venous sides. Flipping the needle works most of the time for us.