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Author Topic: NxStage pre-setup time  (Read 4712 times)
Simon Dog
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« on: May 21, 2014, 04:15:25 PM »

I am interested in learning what various centers are telling home hemo patients regarding how far in advance the cartridge and lines may be brought to step 23 prior to treatment.  The FMC clinic I go to tells me the corporate policy is 2 hours, however, NxStage tells me some patients bring it to step 23 and power off at night, then power on, snap/tap, and hook up to the dialysate in the AM for treatment.
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Angiepkd
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« Reply #1 on: May 21, 2014, 07:27:35 PM »

I was always told 2 hours by my DaVita nurse.  I think that is the standard answer.  She was an in-center RN before switching to NxStage home hemo trainer.  Maybe that is why she said 2 hours?
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PKD diagnosis at 17
Cancer May 2011, surgery and no further treatment but placed on 2 year wait for transplant
October 2011 first fistula in left wrist
April 2012 second fistula in upper arm, disconnect of wrist
January 2013, stage 5 ESRD
March 2013 training with NxStage home hemo
April 2013 at home with NxStage
April 2013 fistula revision to reduce flow
May 2013 advised to have double nephrectomy, liver cyst ablation and hernia repair. Awaiting insurance approval to begin transplant testing. Surgery in June.
June 2013 bilateral nephrectomy.
August 2013 finishing testing for transplant, 4 potential donors being tissue typed.
January 2014 husband approved to donate kidney for me
March 4th 2014 received transplant from awesome hubby. Named the new bean FK (fat kidney) lol!  So far we are doing great!
amanda100wilson
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« Reply #2 on: May 22, 2014, 04:43:37 PM »

I generally set up in the morning and then leave it all day.
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ESRD 22 years
  -PD for 18 months
  -Transplant 10 years
  -PD for 8 years
  -NxStage since October 2011
Healthy people may look upon me as weak because of my illness, but my illness has given me strength that they can't begin to imagine.

Always look on the bright side of life...
PrimeTimer
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« Reply #3 on: May 23, 2014, 12:02:29 AM »

Our nurse told us we can stay on 23 for about 2 hours. Personally, I wouldn't want to go any longer than that but hey, that's because I'm paranoid of any moist environment (inside tubing) where bacteria could start to grow. I always tell my husband "Safety Comes First".
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Husband had ESRD with Type I Diabetes -Insulin Dependent.
I was his care-partner for home hemodialysis using Nxstage December 2013-July 2016.
He went back to doing in-center July 2016.
After more than 150 days of being hospitalized with complications from Diabetes, my beloved husband's heart stopped and he passed away 06-08-21. He was only 63.
Dannyboy
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« Reply #4 on: May 23, 2014, 01:20:17 PM »

I was told 2 hours max
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*kana*
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« Reply #5 on: May 31, 2014, 04:30:32 PM »

I have done the setup at night because my thoughts are if there is bacteria in there it would be there regardless of when I hooked things up.  The fda says 24hrs and many hospitals testing centers spike their IVs the day before.
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PD started 09/08
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Failed donor transplant-donor kidney removed,
suspected cancer so not used 06/17/09

Hemo 06/2009-08/2009

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Maggie and Jeff
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« Reply #6 on: May 31, 2014, 11:25:25 PM »

I have let it run 23 for 24 hours.

Car says it can run 72 hours.

Last couple I let sit over night with the power off would not run later.

Usually 2 hour prime but may start going over night to reduce the air.
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The LORD is my light and my salvation--so why should I be afraid? The LORD is my fortress, protecting me from danger, so why should I tremble?

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cdwbrooklyn
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« Reply #7 on: June 03, 2014, 01:58:49 PM »

I was told 2 hours by my NxStage training nurse; however, another nurse who is on NxStage as a patient told me that 72 hours is the maximum time.  She told me that she runs her machine (set up everything pass the 23 mark) while she goes to work and when she comes home, she gets on it.  Also, she stated that she feels much better when she does that.   
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Dailysis patient for since 1999 and still kicking it strong.  I was called for a transplant but could not get it due to damage veins from extremely high blood pressure.  Have it under control now, on NxStage System but will receive dailysis for the rest of my life.  Does life sucks because of this.  ABOLUTELY NOT!  Life is what you make it good, bad, sick, or healthy.  Praise God I'm still functioning as a normal person just have to take extra steps.
PrimeTimer
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« Reply #8 on: September 08, 2014, 12:27:58 AM »

I know this will sound completely foolish and being in an apartment, we probably haven't the room for it anyway but I swear, there are some nights when I wish that I could simultaneously be making a new SAK in one Pureflow machine while using a SAK in another for treatment. Kind of killing two birds with one stone, gitting-r-done.
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Husband had ESRD with Type I Diabetes -Insulin Dependent.
I was his care-partner for home hemodialysis using Nxstage December 2013-July 2016.
He went back to doing in-center July 2016.
After more than 150 days of being hospitalized with complications from Diabetes, my beloved husband's heart stopped and he passed away 06-08-21. He was only 63.
kporter85db
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« Reply #9 on: September 11, 2014, 01:50:04 PM »

There is actually a line in the NxStage programming menu that lets you set the maximum time a cartridge can be set up and still used. I think the factory preset is 73 hours.
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May/2010 Sulfa based antibiotics killed my already weakened kidneys, almost
Feb/2011 PD catheter placed
July/2011 Started Peritoneal Dialysis
Nov/2013 Started NxStage 5 days/week

Ken
amanda100wilson
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« Reply #10 on: September 14, 2014, 09:17:39 AM »

I asked NxStage and was told 24 hours.  Cartridge will last 72.
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ESRD 22 years
  -PD for 18 months
  -Transplant 10 years
  -PD for 8 years
  -NxStage since October 2011
Healthy people may look upon me as weak because of my illness, but my illness has given me strength that they can't begin to imagine.

Always look on the bright side of life...
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