I Hate Dialysis Message Board

Dialysis Discussion => Dialysis: General Discussion => Topic started by: texasstyle on November 08, 2010, 08:08:37 AM

Title: clot in tube
Post by: texasstyle on November 08, 2010, 08:08:37 AM
Good morning everyone. Today my husband said he ran late because he got a clot, which he believed was in the tube. It took about 1/2 an hour to straighten the situation out. Is this something that happens often? What causes it? Is it something he's not doing right, or is this just one of those things you can't really control? Hhmm.... This is a new one to me lol. Thanks!
Title: Re: clot in tube
Post by: boswife on November 08, 2010, 06:06:33 PM
i dont know just waiting to see if someone else does  :)
Title: Re: clot in tube
Post by: greg10 on November 08, 2010, 06:28:14 PM
Good morning everyone. Today my husband said he ran late because he got a clot, which he believed was in the tube. It took about 1/2 an hour to straighten the situation out. Is this something that happens often? What causes it? Is it something he's not doing right, or is this just one of those things you can't really control? Hhmm.... This is a new one to me lol. Thanks!
Hi texasstyle,  this could be serious.  Have you read the post by RightSide on his problem with Fresenius tubing, which is quite likely the same tubing your husband is using.  It turned out that in RightSide's case, there were air leaks in the tubing connectors that allowed clots to form.  Hopefully Fresenius can straighten this out fast.
http://ihatedialysis.com/forum/index.php?topic=20758.msg345820#msg345820
Title: Re: clot in tube
Post by: RightSide on November 08, 2010, 06:46:15 PM
TexasStyle:

Are you referring to HD tubing?
And if so, does your hubby's center use Fresenius tubing?

Clotted tubing can happen, once in a blue moon, due to random factors.  But it seems to be happening more frequently now with Fresenius tubing.

The recent shipments of HD tubing that my dialysis center has gotten from Fresenius are prone to air bubbles, which cause clotting.  (Blood starts to clot when it contacts air.)  Our Fresenius sales rep has admitted this--poor quality control at their end.

At our center, our head nurse has directed the staff to keep a closer eye on the tubing.  I've volunteered to monitor it while the staff is busy with other patients.  And the nephs are working on whether to prescribe additional heparin to minimize the frequency of clotting.

Your husband should suggest both these measures to his neph and center head nurse.
Title: Re: clot in tube
Post by: Bruno on November 09, 2010, 02:02:53 AM
Just after telling RightSide that it could not happen I got air in my lines (I was at start up) and I suspect clotting as well. Anyway I could not get rid of the 'Air Detector" warning...the blood pump switches off and will not work...so I had to disconnect, put saline in my cannulas and chuck out all the bloodlines and install new ones. Must have taken me a hour and a half to get on.
I think that clotting if your blood pump is still working is going to show on your arterial or venous pressure indicators, isn't it?
Also your venous bubble trap...and of course you are supposed to always check the kidney after dialysis.
Title: Re: clot in tube
Post by: kitkatz on November 09, 2010, 09:54:30 PM
I have thick blood and will sometimes clot the lines.  It takes while to fix it, usually with an entire new set-up.
Title: Re: clot in tube
Post by: Riki on November 09, 2010, 10:38:32 PM
I have thick blood and will sometimes clot the lines.  It takes while to fix it, usually with an entire new set-up.

I have that problem too, with the same resolution.  They've let me go home a half hour to and hour early because of clotting in the lines.  Any longer than an hour, and I'll wait till they get the machine set up again
Title: Re: clot in tube
Post by: Bruno on November 10, 2010, 07:22:57 PM
But wouldn't you be thinking about upping the heparin if the clotting is persistent?
Title: Re: clot in tube
Post by: brandi1leigh on November 10, 2010, 08:10:03 PM
I had a clotted tube today and I got to a Fresenius center. Not sure if it was the tubing or me. It has happened once before and here were no reports of faulty tubing then. They're constantly trying to find the right dose of Heparin for me because I clot quickly.
Title: Re: clot in tube
Post by: Riki on November 12, 2010, 12:06:35 AM
But wouldn't you be thinking about upping the heparin if the clotting is persistent?

They try to limit the amount of heparin given to me, because it makes my hair fall out.  I've been lucky that I haven't clotted the lines in a while.  The last time I saw any clotting was in the lines that are connected to the needle.  The nurse pulled it out with half filled saline syringes.  it was a little gross, cuz even mixed with the saline, the blood was very syrupy.