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karen547
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« on: November 13, 2008, 05:57:44 AM » |
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Ok so I had been clotting for the last little while during treatments. I was supposed to go for a fistulagram, but my doctor said last night that i had good clearance and that it wasnt necessary anymore which i was happy about. Well they decided to give me more heparin to stop the clotting, which helped i guess but my concern is im getting way to much- i was getting 2000 and they upped it to 5000, and last night i REALLY could feel the effects of it, i bled from my needle as well... I was extremely dizzy, terrible headache, and my BP dropped as welll as my pulse.. now my question is is this to much heparin? should I try going back to 2000??
thanks!
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twirl
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« Reply #1 on: November 13, 2008, 06:02:47 AM » |
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karen
yesterday at D I heard an alarm go off like a kitchen timer
the tech said they were audited and no one was waiting five minutes after adding heparin
and now every patient getting heparin will have to wait 5 minutes before starting the machine for D
they should have been doing that all along
this is starting my 3rd year
they add it right after they hook you up and then wait 5 minutes before starting treatment
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willieandwinnie
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« Reply #2 on: November 13, 2008, 06:17:05 AM » |
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karen. It seems that jumpring from 2000 to 5000 units is a bit much. Len has a graft and I would give him a 1000 bolus of heparin when I put his needles in and then after 1 hour I would give him another 1000 and that was it. If it looked like the dialyzer was getting clotted after that I would use a 10ml syringe of saline and things would run smoothly. Also, Len was allergic to pork heparin. You might want to ask some questions. Hope you get it worked out.  |
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"I know there's nothing to it, but I want to know what it is there's nothing to"
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boxman55
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« Reply #3 on: November 13, 2008, 08:36:31 AM » |
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They told me I am allergic to heparin. HIP it is called. I get a citrasate bath and have to take coumiden instead. So to much could cause problems like anything else...Boxman
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 "Be the change you wished to be" Started Hemodialysis 8/14/06 Lost lower right leg 5/16/08 due to Diabetes Sister was denied donation to me for medical reasons 1/2008 |
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karen547
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« Reply #4 on: November 13, 2008, 11:31:19 AM » |
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Well I know someone screwed up something last night because as soon as I got the heparin I was light headed and felt sick. I realize ppl make mistakes but this is kind of ridiculous. I have noticed since there has been new ppl coming to work there has been more mistakes happening and that is scary..
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monrein
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« Reply #5 on: November 13, 2008, 11:34:45 AM » |
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Here, the standard heparin dose is a 1000 bolus, 1000 per hour and it turns off and stops 60 minutes before the end of the run.
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Pyelonephritis (began at 8 mos old)
Home haemo 1980-1985 (self-cannulated with 15 gauge sharps)
Cadaveric transplant 1985
New upper-arm fistula April 2008
Uldall-Cook catheter inserted May 2008
Haemo-dialysis, self care unit June 2008
(2 1/2 hours X 5 weekly)
Self-cannulated, 15 gauge blunts, buttonholes.
Living donor transplant (sister-in law Kathy) Feb. 2009
First failed kidney transplant removed Apr. 2009
Second trx doing great so far...all lab values in normal ranges
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karen547
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« Reply #6 on: November 13, 2008, 11:36:55 AM » |
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Yeah, I only normally get 2000, but they decided to try 5000 which seems a bit excessive. Even Bijous my tech was like ''Woah, 5000??'' I should have known right then it was too much!
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Wallyz
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« Reply #7 on: November 13, 2008, 01:58:11 PM » |
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Heeh. I do a 6000 u bolus and a1300/hr pump.
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monrein
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« Reply #8 on: November 13, 2008, 02:29:56 PM » |
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Heeh. I do a 6000 u bolus and a1300/hr pump.
Do you have to hold your sites long at the end? |
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Pyelonephritis (began at 8 mos old)
Home haemo 1980-1985 (self-cannulated with 15 gauge sharps)
Cadaveric transplant 1985
New upper-arm fistula April 2008
Uldall-Cook catheter inserted May 2008
Haemo-dialysis, self care unit June 2008
(2 1/2 hours X 5 weekly)
Self-cannulated, 15 gauge blunts, buttonholes.
Living donor transplant (sister-in law Kathy) Feb. 2009
First failed kidney transplant removed Apr. 2009
Second trx doing great so far...all lab values in normal ranges
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Ang
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« Reply #9 on: November 13, 2008, 04:20:33 PM » |
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Here, the standard heparin dose is a 1000 bolus, 1000 per hour and it turns off and stops 60 minutes before the end of the run.
listen to miss monrein  she's right on the ball as usual.  |
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live life to the full and you won't die wondering
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twirl
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« Reply #10 on: November 18, 2008, 02:38:34 AM » |
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the doc that made rounds this week cut down my herparin
I told him I was throwing up at night on D days
and last Friday I gagged so hard I broke a blood vessel in my left eye
now that will happen and then my reg nep doc will come next week and raise it back up
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