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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