Dialysis Nursing: Rule of 7 and Potassium in Dialysate

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Understanding the amount of Potassium in the Dialysate Bath is clear and simple when you understand the Rule of 7.
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Patient's Serum Potassium (K) + Potassium (K) in Dialysate = ~ 7
Or
7 - Patient's Serum Potassium (K) = ~ Potassium (K) in patient's dialysate bath
This Rule of 7 will help you talk to you physician about the patient's most appropriate dialysate bath.
This is a general rule, and there are always exceptions to the rule.
00:00 Rule of 7 Intro
00:50 Rule of 7 for the hospitalized patient
01:10 1 K bath and dialysis
02:10 Rule of 7 again
03:00 Talking the the provider about your dialysis patient's dialysate bath
#dialysatebath #dialysisnursing #ruleof7
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Disclaimer: This video is intended for education purposes only and is not intended as medical advice

Опубликовано:

1 авг 2024

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Комментарии : 47

@dialysisnurselindsey 3 года назад

Like my content? then you are going to love my Facebook Group! Please join the support! *facebook.com/groups/215559410197295*

@FGuilt 3 года назад

In hospital, allot of my Drs tended to ignore all the rules of thumb. 1k all day. No I didn't like it. Yes I've seen legit disequilibrium and yes I've had to tell a doctor "this pts treatment is over period call my manager of you want, I'm not doing it." Their favorite thing to ignore is the 13ml/kg/hr limit. Never forget when they ordered a2liter removal on a first time, 2hr tx. I did verify and yep, do it he said. Pt went blind. Dumped 2 shots of 200ml back he recovered his sight and he got the full two hours luckily. I've also had the opposite where the pt did just fine. Rules of thumb are GREAT. But. Everybody's different. You never really know what will happen in a treatment. Great video!

@dialysisnurselindsey 3 года назад

I hear u 💯. You could be my nurse anytime!

@halimabas70 Год назад

Thank you that was very simple, clear and concise! I am a RN student graduating next month and this video refreshed my understanding of the rule of 7 for my summary paper I'm doing. Thanks again and be blessed!

@dialysisnurselindsey Год назад

Omg I love this, you made my day. Thank u!

@parisneche 2 года назад

Thank you for all your videos

@dialysisnurselindsey 2 года назад

Awww ur welcome!! 🥰

@gpaz2439 Год назад

Very helpful.

@dialysisnurselindsey Год назад

Thank u!! 😃

@user-ul1ek6xc4r 11 месяцев назад

Thank you for your presentation So what about crrt sessions if we had pt has k level 7 hyperkalemia so what type of Dialysate solution to use ?

@SusieCruz144 3 года назад

I’m a new nurse in a chronic setting and I’m feeling overwhelmed with how many patients my clinic has. A total of over 100 or so patients. I’m not sure how I’m supposed to learn everything about all of them.

@dialysisnurselindsey 3 года назад

That is overwhelming! You don’t have to learn everything about them, like their whole history. Focus on their dialysis, fluid gains, access, any intradialytic symptoms and infection prevention. You don’t need to know their whole history like u did In clinicals. The patients will tell u most things u need to know about them :)

@alifeofafilipinanurse-nurs2173 8 месяцев назад

Where do u located the K bath

@Ranger7Studios 2 года назад

How do you know what their potassium level is if you are doing home dialysis? Do you need to look at the monthly blood work to decide this? Doesn't things like Blood Pressure, pulse and weight gain usually decide what bath to give them?

@dialysisnurselindsey 2 года назад

When u say home dialysis, do u mean peritoneal dialysis or home hemodialysis?

@Melivisiona 3 года назад

Do you happen to know of how a similar rule may be applied to the Nxstage Pureflow and hanging bag dialysate that is used for home hemodialysis? My Mom has had a potassium of 2.7 with her 25 liter 307 Pureflow SAK after HHD before and had to reschedule cataract surgery because of it but that is the only time we've had the opportunity to have a post dialysis potassium.

@Melivisiona 3 года назад

(My Mom is 75 years old with diabetes, COPD, and bronchiectasis. Her primary physician put her on a potassium supplement but I don't know if that is how it should be managed?)

@dialysisnurselindsey 3 года назад

A post potassium drawn within 2-3 hours post dialysis is going to be skewed, and not accurate, and falsely low. The most accurate post potassium blood draw is done 3 hours after dialysis. I think the cataract peeps need to be educated on this. Thank u for ur question!!

@Melivisiona 3 года назад

@@dialysisnurselindsey ohhh... this is excellent information to have and share! Thank-you!! 🦋

@mart.547 Год назад

Hi so if K is high and bath is changed to 1K is for the whole duration of tx or just for the forst hour of tx?ty

@dialysisnurselindsey Год назад

This is per provider order 😃 check with ur doctor. I see it happen both ways

@sweett6645 Год назад

SUCH A HELPFUL VIDEO… So, what if the patient’s potassium is 2.9, how often should the k bath be given? Is 3 K too high?

@dialysisnurselindsey Год назад

Always defer to the providers orders. But 3 k is a very common potassium bath 🛁 😃

@dialysisnurselindsey Год назад

and thank u!!

@alifeofafilipinanurse-nurs2173 8 месяцев назад

Our monitor has no K bath where u will findi it in monitor

@RanjithKumar-bo4gr 3 года назад

Hlo mam iam dialysis technician in india 👍🥰🥰👌👌👌...tq for video

@dialysisnurselindsey 3 года назад

Hi! Welcome to my channel!!! Any video requests?

@RanjithKumar-bo4gr 3 года назад

Yes mam... explain the 3K bath for pre dialysis ... with example.mam pls 🥰

@dialysisnurselindsey 3 года назад

Anyone have a sliding scale dialysate bath protocol at their clinic?

@kyzlyperalta9724 3 года назад

Hey Lindsey! This is interesting. I work in an incenter dialysis unit (in Canada) where we see 'chronic' hd pts but they are still considered unstable to go to the community hd units (clinics in the US). We have a K protocol we follow after we do their bloodwork which is q6 weeks. We have a lot of pts that are on 1 or 1.5k baths!

@dialysisnurselindsey 3 года назад

@@kyzlyperalta9724 I’m so jealous of ur K protocol!! What an interesting unit. I want to know more... How many people do u run at a time?!

@kyzlyperalta9724 3 года назад

@@dialysisnurselindsey yes! We also have our own iron protocol. We do iron BW q3mos, and depending on the results we follow the iron protocol and change their iron dosing/frequency! Our incenter has a total of 46 beds/chairs (42 max pts/run). We start of our morning runs with 3pts/1nurse. We do all the cannulation/CVCs, meds and assessments. Our techs only set up/prime the machines but we do everything else including rx inputs. We use fresenius and we also have pts on HDF!

@dialysisnurselindsey 3 года назад

wow, what a busy unit 🥼 And u get to do all the fun things like labs and cannulate and meds 🧪 👏🏻

@FGuilt 3 года назад

I've had that. One doctor only. Other drs, 2k all day. Other doctor actually wrote his calculations in his order set LOL. Hospitals be crazy. 😁👍🏻

@leonardovinci6243 3 года назад

Hi mam lindsey.. im a dialysis nurse.. can you teach us the proper blood vessel where to exactly cannulate it especially during avf initiation. We are not very confident if we are hitting the right vessel and we are concern if we are recirculating blood.. thank you!

@dialysisnurselindsey 3 года назад

ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-syeW621uOgA.html This video will help u! Make sure ur needles are 2 inches apart! I get lots of questions on needle insertion so u are not alone! I’ll work on a video that focus’s on these questions! Thank u so much!