# nephpearls

Pruritus Treatment algorithm for patients on hemodialysis from

👉🏼 https://t.co/fIl1bdXgzc

19 44
2019-08-18

CRBSI: Indications for HD Catheter removal
📌 S. aureus, Pseudomonas, Candida
📌 Septic thrombosis
📌 Endocarditis
📌 Osteomyelitis
📌 Severe sepsis with hypotension

19 36
2019-08-12

In patients with nasal 👃 carriage of Staphylococcus, nasal decolonization has been shown to reduce the rate of CLABSI
👉🏼 https://t.co/q5SLGR6Nc6

8 25
2019-08-10

Anatomic variability of internal jugular vein on ultrasound

21 22
2019-08-10

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

10 24
2019-08-10

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

13 30
2019-08-10

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

7 26
2019-08-07

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

👉🏼 https://t.co/LIXSZj28pv

1 7
2019-08-05

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)

34 72
2019-08-05