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Author Topic: Weird blood draw  (Read 3688 times)
KarenInWA
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« on: August 15, 2009, 10:00:36 AM »

My GFR is currently around 27.  Today, I went in for a routine lab draw, which included dropping off a 24-hr urine collection.  I drank more water than I normally do when I did the test, but not a lot more.  Today, when I turned it in and had my blood drawn, the phlebotomist couldn't draw any blood!  She tried both my left and right arms, then ended up doing a butterfly and a syringe on my right wrist after warming it up with a glove filled with hot water.  Any ideas what caused this?  She said my veing was collapsing while drawing the blood.  I have never ever had this kind of problem before.  I used to donate blood when I was younger and healthier, and that was always with my left arm.

What I want to know is this - will this effect my being able to do HD?  I'm leaning more towards HD once the time comes.  Maybe they'll come up with something better by that time and I won't have to worry about it! (HA-HA!!)  Anyway, thoughts are much appreciated.

KarenInWA
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1996 - Diagnosed with Proteinuria
2000 - Started seeing nephrologist on regular basis
Mar 2010 - Started Aranesp shots - well into CKD4
Dec 1, 2010 - Transplant Eval Appt - Listed on Feb 10, 2012
Apr 18, 2011 - Had fistula placed at GFR 8
April 20, 2011 - Had chest cath placed, GFR 6
April 22, 2011 - Started in-center HD. Continued to work FT and still went out and did things: live theater, concerts, spend time with friends, dine out, etc
May 2011 - My Wonderful Donor offered to get tested!
Oct 2011  - My Wonderful Donor was approved for surgery!
November 23, 2011 - Live-Donor Transplant (Lynette the Kidney gets a new home!)
April 3, 2012 - Routine Post-Tx Biopsy (creatinine went up just a little, from 1.4 to 1.7)
April 7, 2012 - ER admit to hospital, emergency surgery to remove large hematoma caused by biopsy
April 8, 2012 - In hospital dialysis with 2 units of blood
Now: On the mend, getting better! New Goal: No more in-patient hospital stays! More travel and life adventures!
peleroja
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« Reply #1 on: August 15, 2009, 10:41:00 AM »

I also have those nasty thin, rolling veins.  I have one good vein that the lab has been using for 6 years.  Don't know what I will do if I lose that one, although once in the hospital they drew blood out of my foot!  I can't answer about HD, but you're bound to have a vein somewhere they can use.
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monrein
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« Reply #2 on: August 15, 2009, 12:46:02 PM »

Could you be dehydrated?
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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
KarenInWA
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« Reply #3 on: August 15, 2009, 01:16:18 PM »

Could you be dehydrated?

That's what the phlebotomist suggested, but I drank more water than usual on Friday.  In fact, my urine that I collected both in the AM at home, and at the hospital in a cup was light in color, not concentrated.  I didn't drink a lot of water this morning, just enough to take my daily vitamins.  So no, I don't think I was dehydrated.  I drank probably around 2 liters of water from late Friday afternoon to just before going to bed (take meds before bed) and a tall glass of cran-grape juice for dinner.  I certainly hope I wasn't dehydrated after all that! 

KarenInWA
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1996 - Diagnosed with Proteinuria
2000 - Started seeing nephrologist on regular basis
Mar 2010 - Started Aranesp shots - well into CKD4
Dec 1, 2010 - Transplant Eval Appt - Listed on Feb 10, 2012
Apr 18, 2011 - Had fistula placed at GFR 8
April 20, 2011 - Had chest cath placed, GFR 6
April 22, 2011 - Started in-center HD. Continued to work FT and still went out and did things: live theater, concerts, spend time with friends, dine out, etc
May 2011 - My Wonderful Donor offered to get tested!
Oct 2011  - My Wonderful Donor was approved for surgery!
November 23, 2011 - Live-Donor Transplant (Lynette the Kidney gets a new home!)
April 3, 2012 - Routine Post-Tx Biopsy (creatinine went up just a little, from 1.4 to 1.7)
April 7, 2012 - ER admit to hospital, emergency surgery to remove large hematoma caused by biopsy
April 8, 2012 - In hospital dialysis with 2 units of blood
Now: On the mend, getting better! New Goal: No more in-patient hospital stays! More travel and life adventures!
BigSky
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« Reply #4 on: August 15, 2009, 02:43:07 PM »

Maybe you have excess water going into the tissue causing the problem.
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willowtreewren
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« Reply #5 on: August 16, 2009, 08:52:27 AM »

Even though you have been drinking plenty, are you also sweating more than usual?

I know this is worrisome.

Aleta
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Wife to Carl, who has PKD.
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KarenInWA
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« Reply #6 on: August 16, 2009, 11:27:19 PM »

Even though you have been drinking plenty, are you also sweating more than usual?

I know this is worrisome.

Aleta

No, the only time I sweat more than usual (when not excercising) is when we get hot, humid weather.  Sad to say, it wasn't hot nor humid when this all took place (think Seattle).  However, we are getting summer weather here again!

On a side note.... I sure would have appreciated some warm weather when I went to the Mariners/Yankees game on Thursday.  I bought the tickets back in March, thinking now nice it would be to go to a mid-August baseball game.  NOT!!!  It was *pouring*, the roof was closed, my jeans were damp, and I ended up buying a hoodie sweatshirt!!  And, the Mariners lost 11-1!!!  And....no A-Rod to boo!  Ah, the complexities of being a Seattle Mariners fan....  :rofl;
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1996 - Diagnosed with Proteinuria
2000 - Started seeing nephrologist on regular basis
Mar 2010 - Started Aranesp shots - well into CKD4
Dec 1, 2010 - Transplant Eval Appt - Listed on Feb 10, 2012
Apr 18, 2011 - Had fistula placed at GFR 8
April 20, 2011 - Had chest cath placed, GFR 6
April 22, 2011 - Started in-center HD. Continued to work FT and still went out and did things: live theater, concerts, spend time with friends, dine out, etc
May 2011 - My Wonderful Donor offered to get tested!
Oct 2011  - My Wonderful Donor was approved for surgery!
November 23, 2011 - Live-Donor Transplant (Lynette the Kidney gets a new home!)
April 3, 2012 - Routine Post-Tx Biopsy (creatinine went up just a little, from 1.4 to 1.7)
April 7, 2012 - ER admit to hospital, emergency surgery to remove large hematoma caused by biopsy
April 8, 2012 - In hospital dialysis with 2 units of blood
Now: On the mend, getting better! New Goal: No more in-patient hospital stays! More travel and life adventures!
Deanne
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« Reply #7 on: August 17, 2009, 07:45:52 AM »

No answers, but I always have the same question. They can only get my blood if they use a butterfly needle. Whenever they've tried a normal needle, the plebotomist always ends up telling me to have them use a butterfly in the future. I make sure I drink plenty of water in the morning before I have a blood test. They said my veins are small and roll.
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Deanne

1972: Diagnosed with "chronic kidney disease" (no specific diagnosis)
1994: Diagnosed with FSGS
September 2011: On transplant list with 15 - 20% function
September 2013: ~7% function. Started PD dialysis
February 11, 2014: Transplant from deceased donor. Creatinine 0.57 on 2/13/2014
kitkatz
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« Reply #8 on: August 18, 2009, 02:10:12 PM »

The phlebotomists at Kaiser draw straws to see who gets me!  My veins hide and roll and if I am having a stressful day or am cold forget it!
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jbeany
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« Reply #9 on: August 18, 2009, 06:00:38 PM »

Depends on the skill of the lab tech, too.  I have small, rollie veins.  The newbies can't get me to bleed unless they come at me with a hack saw.  And yet, the more experienced techs don't seem to have a problem.
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