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Author Topic: Pump speed  (Read 26716 times)
kevno
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« on: July 23, 2006, 05:11:30 PM »

I know that my pump speeds are low. Mine are only 200 - 250 can not go any higher. I was ask what is a normal pump speed. I have no idea. When my fistula worked ok used to get pump speeds of 300 - 350 never got a very fast pump speed. So can you please put down your average pump speed. The speed you can usually get.

Thanks

Kevno
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« Reply #1 on: July 23, 2006, 05:15:41 PM »

I voted 400 - 450, because that is what my speed is usually at, but once or twice it has been at 350, usually when there was a problem with the needle placement.
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« Reply #2 on: July 23, 2006, 06:18:51 PM »

They try to run us so we have a blood flow rate of 400 here.  Makes pump speed around 420 for me.
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angieskidney
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« Reply #3 on: July 23, 2006, 06:24:53 PM »

Well since my fistula is still pretty new I run at 250 but when they used the permath it was 400. They have me on the 15 gauge needles but when my fistula blew they are now back to doing the arterial in the permcath and just one 15 ga needle in the arm.
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kevno
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« Reply #4 on: July 24, 2006, 03:04:56 AM »

That is one thing with a new fistula the vein as been stretched so much at the beginning it is very weak. On our unit we are given a ball to squeeze to strengthen the fistula. It does seem to work.
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angieskidney
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« Reply #5 on: July 24, 2006, 03:12:34 AM »

That is one thing with a new fistula the vein as been stretched so much at the beginning it is very weak. On our unit we are given a ball to squeeze to strengthen the fistula. It does seem to work.
Does it? How much do you have to squeeze it and how can you tell when it has been enough? I am afraid they will try to use the fistula too soon so I want to have a better idea. Thanks.
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kevno
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« Reply #6 on: July 24, 2006, 03:44:49 AM »

I used to squeeze the ball about 4 x 10 minutes a day.  Even after the nurses started to use the fistula. I am sure there are a few renal patient on the site who used the ball the strengthen there fistulas. I thought it was common practice to strengthen a fistula this way.
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angieskidney
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« Reply #7 on: July 24, 2006, 03:53:27 AM »

I thought it was common practice to strengthen a fistula this way.

My surgeon told me I didn't need to use it. Now the nurses are telling me my fistula is NOT strong enough...
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SpeedFleX
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« Reply #8 on: July 24, 2006, 04:52:43 AM »

I use a Pumpspeed of 300, My fistula good just don't have the need to go any higher!

Pressure is around 100 - 120!

Please write down if u would like what your pressure is?
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Panda_9
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« Reply #9 on: July 24, 2006, 05:08:25 AM »

We are given the stress ball thing too. No one really told me how often to squeeze it, so I just did it when I thought of it. Once they started using my fistula it got alot bigger and tougher. I dont use the stress ball any more. At home I run at 225 pump speed and my pressures are around -40 arterial and 110 venous. In centre I run at 250. Occaisionally I up it to 300 but dont let my venous pressure got past 150.
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kevno
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« Reply #10 on: July 30, 2006, 04:19:08 PM »

COME ON >:( Surely more than TEN people out there on haemo. I thought this poll would be interesting to see what speeds most  haemo patients can achieve. I was asked the question by one of the patients on this site. I do not know the answer. So come on, I would like to know what the average speed is. Plus what you keep your Venus pressure at your speed is. That is if you leave a post.

So come on do the POLL PLEASE ;)

You do not have the leave a post. Just your pump speed.

Thanks

Kevno
« Last Edit: July 30, 2006, 04:24:21 PM by kevno » Logged

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« Reply #11 on: July 30, 2006, 05:31:31 PM »

Venus pressure 150-180.

As to the use of the ball for the fistula I am not sure it really works.  Do not see the cause and effect there of squeezing the hand to having the fistula enlarge and toughen up.  Anyone know the cause and affect?  IMO it seems it may be more for letting patients think they have control over something when they are in a situation (dialysis) where they have no control.



As to pump speed the faster the pump the better your dialysis.  Pump speed in combination with needle size can only go so fast  before it crushes blood cells.

Also it might be interesting to know at what speed the dialysate is going for everyone.

Dialysate speed is set at 800 for me.
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angieskidney
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« Reply #12 on: July 30, 2006, 10:10:49 PM »

365

and my art -150 ven 200 and tmp 80 and bp 90/60
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« Reply #13 on: July 30, 2006, 11:15:57 PM »

When they attempted a fistula in my right wrist, they told me that crushing the ball in the hand would strengthen the fistula and make it bigger.  Because it is an artery entering a vein, the pumping action helps the vein to get larger. This important to do if you want a large really good working fistula.
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« Reply #14 on: July 31, 2006, 12:22:59 AM »

When they attempted a fistula in my right wrist, they told me that crushing the ball in the hand would strengthen the fistula and make it bigger.  Because it is an artery entering a vein, the pumping action helps the vein to get larger. This important to do if you want a large really good working fistula.

Very very true! I wasn't doing it because the surgeon told me I didn't have to .. then my fistula has blown 3 times now ... I started using the ball and HAVE noticed a difference!
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« Reply #15 on: July 31, 2006, 06:16:15 AM »

When I was at highschool it was "cool" for the guys to have bulging veins in your arms. They just did lots of pumping and after a while the veins were prominent. I guess its the same with a fistula. My surgeon told me to go and pump weights at the gym lol I thought he was joking but he wasnt.
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BigSky
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« Reply #16 on: July 31, 2006, 07:10:03 AM »

When I was at highschool it was "cool" for the guys to have bulging veins in your arms. They just did lots of pumping and after a while the veins were prominent. I guess its the same with a fistula. My surgeon told me to go and pump weights at the gym lol I thought he was joking but he wasnt.

This makes more sense to me.  Lifting weights causes vast amounts of blood to rush into the area to being worked.(the PUMP) I mean I squeezed the crap out of the ball as instructed and never felt a pump in the area at all.

But hey on a side note at the recent dialysis picnic we had, we were given a goodie bag of stuff.  Among them a purple ball from sensipar.  ;D Any buyers?  Has low mileage! ;)
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angieskidney
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« Reply #17 on: July 31, 2006, 12:19:02 PM »

When I was at highschool it was "cool" for the guys to have bulging veins in your arms. They just did lots of pumping and after a while the veins were prominent. I guess its the same with a fistula. My surgeon told me to go and pump weights at the gym lol I thought he was joking but he wasnt.

This makes more sense to me.  Lifting weights causes vast amounts of blood to rush into the area to being worked.(the PUMP) I mean I squeezed the crap out of the ball as instructed and never felt a pump in the area at all.

But hey on a side note at the recent dialysis picnic we had, we were given a goodie bag of stuff.  Among them a purple ball from sensipar.  ;D Any buyers?  Has low mileage! ;)
Aww you get a goody bag? You are so lucky! lol Only thing I got was a blanket from Eprex (Canada)
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« Reply #18 on: August 01, 2006, 05:14:33 AM »

From aranesp we got a blanket (which the cat has claimed), a great backpack, pair of socks, and a document folder. Not bad for a freebie. Its a shame the doctors get all the freebies usually, what about the suckers who take their meds?
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« Reply #19 on: August 01, 2006, 07:14:40 AM »

oops
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angieskidney
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« Reply #20 on: August 01, 2006, 01:54:38 PM »

Last night was the first time I was put at a pump speed of 400 with both 15 ga needles in my fistula and it didn't blow!! :)
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« Reply #21 on: August 01, 2006, 11:14:11 PM »

Are you on conventional HD angie?
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angieskidney
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« Reply #22 on: August 02, 2006, 11:28:24 PM »

Are you on conventional HD angie?
Ya.. inclinic hemo m/w/f 3.5hrs.
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« Reply #23 on: August 14, 2006, 06:19:59 AM »

What do you folks mean when you say your fistula "Blows"?

I use a pump speed of 425
15 gauge (blue) needle for the arterial (fistula), pressure -250-260 (I stick this one myself)
16 gauge (green) needle for the venous, pressure 260

I guess my pressure numbers are high compared to most of you folks.     :-[

Maybe it's because my hematocrit is 41% ... and of course my preference for a smaller needle in my venous site.
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angieskidney
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« Reply #24 on: August 14, 2006, 08:58:51 AM »

What do you folks mean when you say your fistula "Blows"?

I use a pump speed of 425
15 gauge (blue) needle for the arterial (fistula), pressure -250-260 (I stick this one myself)
16 gauge (green) needle for the venous, pressure 260

I guess my pressure numbers are high compared to most of you folks.     :-[

Maybe it's because my hematocrit is 41% ... and of course my preference for a smaller needle in my venous site.

Am I suffering from Deja Vu? I thought I just answered to this post? :P I don't know if the term is correct but I call it "fistula blow" when they stick me and then I get a goose egg and they have to put ice on it and infiltrate another spot.  :-\ It has been happening an awful lot :( I am afraid this is just something I will have to get used to and accept as part of my treatment 3x/wk  :'(
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