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Author Topic: Saline flush issues  (Read 3591 times)
paddbear0000
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« on: August 03, 2009, 08:28:18 PM »

I have been getting saline flushes for the last few months instead of the heparin. I started that because I was getting a lot of leaking at my needle sites and bruising all over my body. I would get a 0.5ml bolus of heparin at the beginning, then 3 100ml saline flushes during my session. I few weeks ago, however, every time I would get a flush, I couldn't catch my breath and i would get chest pains. It was getting worse and worse until last Wednesday, when I also got an instant headache and the chest and breathing issues were so bad, i was actually afraid I might die! Has anyone else experienced this with saline flushes? I told them flat out I was no longer doing the flushes. i had been telling several nurses what I was feeling over since it started happening, but they would just tell me it wasn't the flushes, but rather I was crashing. Wrong!!! It only happened during the flushes, plus half of the time my bp was high when it happened. What would cause this too?
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Diagnosed type 1 diabetic at age 6, CKD (stage 3) diagnosed at 28 after hospital error a year before, started dialysis February '09. Listed for kidney/pancreas transplant at Ohio State & Univ. of Cincinnati.
staceyand joe92
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« Reply #1 on: August 03, 2009, 10:01:32 PM »

I get a bolus of saline 400ml at the beginning of my treatment to prevent dehydration. I get a weird feeling in my chest too. It doesn't hurt I just feel a little out of breath and light headed. No one has ever been able to explain to me why this happens.
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paddbear0000
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« Reply #2 on: August 04, 2009, 02:25:46 AM »

I wish my nurses had at least said they didn't know. Instead they would completely disregard what I told them and tried to convince me it was something else when I knew full well it wasn't!! I hate when medical professionals do that. I would rather they just said they don't know.
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I HAVE DESIGNED CKD RELATED PRODUCTS FOR SALE TO BENEFIT THE NKF'S 2009 DAYTON KIDNEY WALK (I'M A TEAM CAPTAIN)! CHECK IT OUT @ www.cafepress.com/RetroDogDesigns!!

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Diagnosed type 1 diabetic at age 6, CKD (stage 3) diagnosed at 28 after hospital error a year before, started dialysis February '09. Listed for kidney/pancreas transplant at Ohio State & Univ. of Cincinnati.
willowtreewren
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« Reply #3 on: August 04, 2009, 05:58:58 AM »

And even more frustration when they try to make you feel like it is "just in your head"!!!

After all, no one knows better what is going on in you body than YOU!

Thinking about you.
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kitkatz
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« Reply #4 on: August 04, 2009, 03:24:04 PM »

The nurse butt kicking needs to begin soon. Anyone who will not listen to you needs a good  :Kit n Stik; !
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paddbear0000
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« Reply #5 on: August 04, 2009, 05:48:50 PM »

I normally have a problem standing up for myself, but the last flush I received that scared me to death, really pushed my buttons and I got an attitude with the nurse. She was the one who kept telling me it was something else. I told them I flat out refuse anymore saline flushes. And would you know it, another nurse didn't read my chart and came over and proceeded to give me a flush!! I was talking to my doc at the time, so I didn't see her do it. I sure felt it though and boy did I lose it!
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I HAVE DESIGNED CKD RELATED PRODUCTS FOR SALE TO BENEFIT THE NKF'S 2009 DAYTON KIDNEY WALK (I'M A TEAM CAPTAIN)! CHECK IT OUT @ www.cafepress.com/RetroDogDesigns!!

...or sponsor me at http://walk.kidney.org/goto/janetschnittger
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Diagnosed type 1 diabetic at age 6, CKD (stage 3) diagnosed at 28 after hospital error a year before, started dialysis February '09. Listed for kidney/pancreas transplant at Ohio State & Univ. of Cincinnati.
Zach
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« Reply #6 on: August 04, 2009, 09:22:29 PM »

When they give you a flush, ask them to turn down the blood pump to about 200 ml/m.  Just make sure they turn it back up to the correct pump speed before they forget and leave.

8)
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Uninterrupted in-center (self-care) hemodialysis since 1982 -- 34 YEARS on March 3, 2016 !!
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
No transplant.  Not yet, anyway.  Only decided to be listed on 11/9/06. Inactive at the moment.  ;)
I make films.

Just the facts: 70.0 kgs. (about 154 lbs.)
Treatment: Tue-Thur-Sat   5.5 hours, 2x/wk, 6 hours, 1x/wk
Dialysate flow (Qd)=600;  Blood pump speed(Qb)=315
Fresenius Optiflux-180 filter--without reuse
Fresenius 2008T dialysis machine
My KDOQI Nutrition (+/ -):  2,450 Calories, 84 grams Protein/day.

"Living a life, not an apology."
paddbear0000
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« Reply #7 on: August 05, 2009, 06:54:47 AM »

They were running it at 200. I run at only 250 the rest of the time (due to a whole other set of issues).
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********************************************************
I HAVE DESIGNED CKD RELATED PRODUCTS FOR SALE TO BENEFIT THE NKF'S 2009 DAYTON KIDNEY WALK (I'M A TEAM CAPTAIN)! CHECK IT OUT @ www.cafepress.com/RetroDogDesigns!!

...or sponsor me at http://walk.kidney.org/goto/janetschnittger
********************************************************
Twitter.com/NKFKidneyWalker
www.facebook.com/profile.php?id=1659267443&ref=nf 
www.caringbridge.org/visit/janetschnittger

Diagnosed type 1 diabetic at age 6, CKD (stage 3) diagnosed at 28 after hospital error a year before, started dialysis February '09. Listed for kidney/pancreas transplant at Ohio State & Univ. of Cincinnati.
Zach
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"Still crazy after all these years."

« Reply #8 on: August 05, 2009, 08:22:37 AM »

They were running it at 200. I run at only 250 the rest of the time (due to a whole other set of issues).

Perhaps you should ask them to reduce the speed to 100 for the flush.

8)
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Uninterrupted in-center (self-care) hemodialysis since 1982 -- 34 YEARS on March 3, 2016 !!
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
No transplant.  Not yet, anyway.  Only decided to be listed on 11/9/06. Inactive at the moment.  ;)
I make films.

Just the facts: 70.0 kgs. (about 154 lbs.)
Treatment: Tue-Thur-Sat   5.5 hours, 2x/wk, 6 hours, 1x/wk
Dialysate flow (Qd)=600;  Blood pump speed(Qb)=315
Fresenius Optiflux-180 filter--without reuse
Fresenius 2008T dialysis machine
My KDOQI Nutrition (+/ -):  2,450 Calories, 84 grams Protein/day.

"Living a life, not an apology."
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