Thanks for the info on Sodium Profiling !

[Lindia]

From reading the Fluid Overload topic - I started to wonder if hubbys DaVita clinic was sodium profiling.   Timing was lucky for us, we had a meeting with the clinic staff on Thursday.    I asked if they were sodium profiling - and the head nephrologist said No -- but then the head RN/Manager - corrected him, and said - Yes, they were -  the nephrologist said, "I didn't think we did that anymore."   The nurse said that they started at 145, etc.   

UM - hello,  why is the head RN running the clinic, and not the nephrologist ?!?!   Well, I made it clear that we wanted NO MORE SODIUM,  and they put it on his charts.   He had his first session on Saturday, with no sodium, and he feels so MUCH BETTER,   he had been thirsty - all the time - and struggling with that,  now, he's not thirsty AT ALL.     I look at the other patients in the clinic and I feel really sorry for them - I've noticed several of them bring in big drinks -- and now - I know why.        THANKS IHD --  we would have never figured this out -  THANKS !!!

[Bill Peckham]

You made my day Lindia. I believe the situation you described is common, docs not knowing the treatment details; nurses believeing they have been left to get the job done, get you to the weight number in your chart, by what ever means.

[sullidog]

again, a very prime example of techs and nurses trying to run the show and doctors not knowing about it.

[Lindia]

You made my day Lindia. I believe the situation you described is common, docs not knowing the treatment details; nurses believeing they have been left to get the job done, get you to the weight number in your chart, by what ever means.

The techs trying to run the show are unnerving to me.  I think they have tried to pull off more than my hubby needs (he still has residual function).    Can someone explain a little about "rinse back"  -    one tech figures that into how much to take off, and others  DON'T -   I'm feeling like "getting the job done"  is all that matters, and keeping the client in the dark is a MAJOR problem at our center in Wichita.              Now that I only trust one of the techs, its even more stressful.     

[iketchum]

I think rinse back is when they return all your blood, they pump saline through the system to push your blood out of the machine and back into you. You may get a little saline, but not much if they are paying attention. Some times, when I have been cramping hard, they will actually give me a little shot of saline to help stop the cramps, and it seems to help my bp also.

[Lindia]

Does anyone know how much fluid is considered the typical rinseback ? ?     Is it .5        I'm not sure, if they want to pull off  1 - -  how does the .5 figure into that ?       

[cattlekid]

I have been told that the rinseback is .5 - so if they are to take 1 kilo off, they will set the machine to 1.5 to allow for the rinseback.