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Do people remember problems getting paracetamol or loo paper? Now it’s flour. Imagine it’s #cancer #diabetes #epilepsy #dialysis medicines for you/loved ones? #Brexit happened. Now No Deal looms! #ExtendTransition to save lives! Food/medicines/pesticide free products vital! Sign https://t.co/FmVlWHjuRk
.@ERAEDTA sharing Milan experience on #COVID19 management in dialysis centers ca. 2020 from @CKJsocial #CoronaKidney
👉🏼 https://t.co/z4srjATzdj
Emergency Commissions 💥
This month I have to help my mom to pay some medicine she needs for her hemodialysis sessions x_x
So apart from my normal commissions, I'll open headshot commissions sketch like this for $3USD
I'll open 10 slots for this kind 🙏
Pruritus Treatment algorithm for patients on hemodialysis from @BCRenalAgency
#NephJC #Nephpearls
Is intake of potassium-rich foods like, spinach, grilled meat, avocados & bananas highly regulated for dialysis patients? Yes. Excess potassium leads to nausea & slow pulse if one has a failed kidneys that can't remove excess potassium. Transplant or dialysis ? #ThinkAgain
dialysis, i need it
i see Kuze, i floor it
the yakuza? ignore it
I AM THE BEAST I WORSHIP
BID: Blood Pressure in Dialysis ca. 2018 from @JASN_News #Nephpearls
🙏🏼 @NavTangri for sharing this
👉🏼 https://t.co/w7k8lJujsL
Pruritus Treatment algorithm for patients on hemodialysis from @BCRenalAgency
#Nephpearls #DialysisDirector
👉🏼 https://t.co/fIl1bdXgzc
CRBSI: Indications for HD Catheter removal
📌 S. aureus, Pseudomonas, Candida
📌 Septic thrombosis
📌 Endocarditis
📌 Osteomyelitis
📌 Severe sepsis with hypotension
#Nephpearls #DialysisDirector
In patients with nasal 👃 carriage of Staphylococcus, nasal decolonization has been shown to reduce the rate of CLABSI
👉🏼 https://t.co/q5SLGR6Nc6
#Nephpearls #DialysisDirector
Anatomic variability of internal jugular vein on ultrasound
#Nephpearls #DialysisDirector
Femoral Catheters
📌 Need to be at least 20 cm length so that tip is in IVC to allow better flow and minimize recirculation
📌 CATHEDIA Study Group: Delivered URR and Kt/V were similar with Femoral and IJ Catheters
👉🏼 https://t.co/faPbr5HU4z
#Nephpearls #DialysisDirector
Femoral vein approach
📌 “Previously” thought to be high risk for infections
📌 CATHEDIA Study Group: Comparable rates of infection and time to catheter tip colonization (14 days) with Femoral vs IJ Catheters
👉🏼 https://t.co/faPbr5HU4z
#Nephpearls #DialysisDirector
Hemodialysis 101: Venous Catheter Access #Nephpearls #DialysisDirector
AVG maturation: A PTFE graft should not be cannulated for at least 2 weeks after placement
It is considered mature when -
📌 Edema and erythema have resolved
📌 AVG course is easily palpable
#Nephpearls #DialysisDirector
Redsense sensor is used to detect blood leakage at the site of potential line separation
📌 For those who are at high risk for line separation
#Nephpearls #DialysisDirector
👉🏼 https://t.co/LIXSZj28pv
Hemodialysis 101: Apparatus
📌 From the patient, blood is pumped via the vascular access thru an ARTERIAL blood line (INFLOW) to the dialyzer
📌 Blood is returned to the patient from the dialyzer via a VENOUS blood line (OUTFLOW)
#Nephpearls #DialysisDirector
CVS Health Eyes Home Dialysis Market With Telehealth Pilot Program https://t.co/dlNAoVh1Bq
#mhealth #telehealth #dialysis
How can Phosphate removal be increased during hemodialysis⁉️
Dialyzers ❌
Dialysate flow ❌
Blood flow ❌
Hemodiafiltration ❓
Increase dialysis frequency ✅
Treatment time ✅
#NKFClinicals 🇺🇸 #Nephpearls
How to prescribe Incremental Peritoneal Dialysis (PD) ⁉️ from @JoanneBargman
#NKFClinicals 🇺🇸 #Nephpearls