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Author Topic: does anyone have this problem?  (Read 1863 times)
caringpct
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« on: April 05, 2010, 06:51:33 PM »

One of my patients asked if it was common to have a cough with phlegm after dialysis. No other patient has told me of anything like that but apparently a few of them have had this occur. (heard a another patient talking to another about it.) Does anyone else have this problem and how can I help prevent it? What causes it?
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sullidog
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« Reply #1 on: April 05, 2010, 08:28:23 PM »
I do sometimes during dialysis, don't know what causes it.
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May 13, 2009, went to urgent care with shortness of breath
May 19, 2009, went to doctor for severe nausea
May 20, 2009, admited to hospital for kidney failure
May 20, 2009, started dialysis with a groin cath
May 25, 2009, permacath was placed
august 24, 2009, was suppose to have access placement but instead was admited to hospital for low potassium
august 25, 2009, access placement
January 16, 2010 thrombectomy was done on access
Rerun
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Going through life tied to a chair!
« Reply #2 on: April 06, 2010, 06:05:19 AM »
It seems we always get "assessed" before dialysis and or... check lungs and heart and check ankles.  We never get assessed "after" dialysis.  You need to listen to their chest and lungs and checks ankles for fluid.  There should be little or none.  If ankles are still puffy they may need to challenge their dry weight.  Lungs should sound clear.

                   :secret;
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sullidog
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« Reply #3 on: April 06, 2010, 03:41:54 PM »
Our nurses only will do that for older people.
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May 13, 2009, went to urgent care with shortness of breath
May 19, 2009, went to doctor for severe nausea
May 20, 2009, admited to hospital for kidney failure
May 20, 2009, started dialysis with a groin cath
May 25, 2009, permacath was placed
august 24, 2009, was suppose to have access placement but instead was admited to hospital for low potassium
august 25, 2009, access placement
January 16, 2010 thrombectomy was done on access
RightSide
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« Reply #4 on: April 09, 2010, 05:25:02 PM »
It might be fluid in the lungs from pulling off insufficient fluid during the dialysis session, combined with the sodium profiles actually attracting fluid out of the extremities back into the chest cavity.

Just a guess on my part.
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Tenorman
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Started dialysis April 9, 2010, In-center.
« Reply #5 on: April 10, 2010, 07:29:05 PM »
I have had two in-center treatments.  Both times I felt great right after the session, but about 5-6 hours later, I "crashed" - felt awful.  Is this to be expected?
Tenorman
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Tenorman
caringpct
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« Reply #6 on: April 11, 2010, 06:37:27 PM »
Just an update:  the patient I spoke of is doing better. Spoke with a doctor on his behalf and with the patient with his wife, concluded that it could be allergy issues. Maybe, but I am keeping an eye on it.

tenorman: some of my patients feel the way you describe. It could be your body trying to adjust to dialysis.
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kitkatz
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« Reply #7 on: April 11, 2010, 07:50:28 PM »
I have phlegm and a cough after dialysis.
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