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MY ATTEMPT AT A SIMPLISTIC WAY TO EXPLAIN HOW A CRITLINE WORKS 

Dialysis Nurse Lindsey Sippl
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I love to talk about a Critline.
They are complicated, mysterious, and magical. And this is my attempt at a simplistic way to explain how a critline works.
Glasses are fun! amzn.to/2ZdEmgK
Cloth Overalls: amzn.to/2ZgYkY2
Crit line Pamphlet:
fmcna.com/content/dam/fmcna/l...
NOTES:
HCT: % of RBCs in your blood stream compared to TOTAL BLOOD VOLUME
TOTAL BLOOD VOLUME = RBC (~ 45%) + PLASMA (~55%) + LUEKOCYTES/PLATELETS (less than 1 % )
CRIT-LINE MEASURES % CHANGE IN HCT throughout dialysis treatment.
PROFILE A:
HCT remains the same or slight change throughout treatment.
This means the plasma refill rate is the same or faster than the Ultrafiltration rate/rate of fluid removal.
Even though these patients have more fluid to give us, this can be difficult for some. Especially those with low albumins, ascites, or active cardiac issues
PROFILE B:
Graph is gently sloping downward.
This is a good sign of efficient fluid removal and low risk of intradialytic symptoms
PROFILE C
Steep downward curve on graph. Fluid removal is too fast compared to plasma refill rate. Without intervention your patient will likely have symptoms.
#critlines #cdnreview #dialysisnursing #dialysisnurse #dialysisassessment #dialysiseducation
00:00 HCT review
01:45 Plasma Refill Review
03:00 Crit-Line Profile Review
5:50 Profile C
DISCLAIMER: Links included in this description might be affiliate links. If you purchase a product or service with the links that I provide I may receive a small commission. There is no additional charge to you! Thank you for supporting my channel so I can continue to provide you with free content each week
Disclaimer: This video is intended for education purposes only and is not intended as medical advice

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1 авг 2024

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Комментарии : 41   
@MakeWay4CJ
@MakeWay4CJ 8 месяцев назад
My whole commentary while watching this was..."Ohhhhhhhhhh!!!!!!" 😆 THANK YOU FOR TAKING THE TIME TO EXPLAIN THIS! ❤❤❤
@dialysisnurselindsey
@dialysisnurselindsey 7 месяцев назад
Awesome!! Thank u so much!!!
@bareduadem9502
@bareduadem9502 2 месяца назад
Thank you so much for explaining very well.
@dialysisnurselindsey
@dialysisnurselindsey 3 года назад
Like my content and want to say thank you?! Well, I love coffee....thank you!! www.buymeacoffee.com/DialysisLindsey
@johnpauloacosta9659
@johnpauloacosta9659 3 года назад
Thanks for this! Pls make more videos. It’s a huge help for a newbie dialysis nurse like me :)
@dialysisnurselindsey
@dialysisnurselindsey 3 года назад
I appreciate this John!! Thank you for your support 😃
@minkymandy6065
@minkymandy6065 Год назад
Thank you for your wonderful videos. I'm a relatively new dialysis nurse in UK. Your teaching sessions are priceless!
@dialysisnurselindsey
@dialysisnurselindsey Год назад
You are so welcome!
@dialysisnurselindsey
@dialysisnurselindsey 3 года назад
Please Join Dialysis Nurses Supporting Nurses Facebook Group! facebook.com/groups/215559410197295 We are just so much fun. You can never have too much support! Crit Line Helpful Handout: fmcna.com/content/dam/fmcna/live/support/documents/fluid-management/crit-line-iv/Crit-Line%20IV%20Patient%20Booklet-English.pdf
@dainaflowers43
@dainaflowers43 3 года назад
Great job explaining!
@dialysisnurselindsey
@dialysisnurselindsey 3 года назад
Thanks Daina!! :). I appreciate this!
@tammyfrench3089
@tammyfrench3089 2 года назад
Great video, the visuals were very helpful.
@dialysisnurselindsey
@dialysisnurselindsey 2 года назад
Oh good! Thanks for watching 😃
@amramjose
@amramjose 3 года назад
That was very informative. Thanks!
@dialysisnurselindsey
@dialysisnurselindsey 3 года назад
Oh good!! U r very welcome 😃
@taralecornu7818
@taralecornu7818 3 года назад
Super helpful video thanks! Look forward to viewing many more. Peace from Australia 🙂
@dialysisnurselindsey
@dialysisnurselindsey 3 года назад
Thank u Tara!! I appreciate this so much, working on posting the next video as soon as it uploads!! 🎈🥰
@tommyblaze1904
@tommyblaze1904 2 года назад
Am watching this while on the machine lol
@dialysisnurselindsey
@dialysisnurselindsey 2 года назад
😆 lol 👏 👋
@denniswashington9994
@denniswashington9994 Год назад
I love your video. Thank.❤
@dialysisnurselindsey
@dialysisnurselindsey Год назад
Thank u!!
@tonycho4142
@tonycho4142 2 года назад
Hi Lindsey, TKS for your video. Can I ask you that during my dialysis, after a while they always increase the UFR to pull more water, and I figure out afterward the UFR will be higher than the CMS guideline 13ml/kg/hr, sometimes even reach 18ml/kg/hr. And I am afraid I could be
@tonycho4142
@tonycho4142 2 года назад
Can I ask you that during my dialysis, after a while they always increase the UFR, and I figure out will be higher than the CMS guideline 13/ml/kg/hr, sometimes even 18/ml/kg/hr. I am afraid that Myocardial stunning could be happened. Kindly pls advise. TKS again.
@ambergranderson6402
@ambergranderson6402 2 года назад
Hello Nurse Sippl! Im currently training to be a PCT & your videos are life saving! Really helping me connect the dots during my training. I started watching your videos from the beginning because of my OCD lol. Quick questions: So the Blood Pressure will drop automatically during dialysis because fluid is being removed but we have to make sure blood pressure doesn’t drop too much, correct? & part 2 to my question is, What are some ways that patients can help assist maintain their blood pressure before, during, & after treatments?
@dialysisnurselindsey
@dialysisnurselindsey 2 года назад
Amber, thank you so much for this, it warms my heart! yes,blood pressures are complicated, generally people will come in with a high blood pressure because they have extra fluid in their body, and the extra fluid will show up as edema, fluid in lungs, and vessels that are full of fluid, causing high blood pressure....
@dialysisnurselindsey
@dialysisnurselindsey 2 года назад
the trick is to remove fluid in a way that is safe for patients. Removing too much fluid too fast, will cause a sudden drop in blood pressure, possibly cramping, and even passing out. Research says that keeping fluid removal at or below 13 ml/kg/hr is safest for patients long term. What patients can do to prevent this is to follow their fluid restrictions, stay on the machine for their prescribed treatment time, not miss dialysis treatments, take their medications as prescribed, and high protein intake
@preethijacob4044
@preethijacob4044 Год назад
🎉
@dialysisnurselindsey
@dialysisnurselindsey Год назад
thanks!!
@joanasolarte6649
@joanasolarte6649 3 года назад
So during treatment let’s say the start of Dialysis HCT is 25.5 ...during TX we would want the HCT to go towards the 30s or lower 20s? To remove fluid .
@dialysisnurselindsey
@dialysisnurselindsey 3 года назад
You Want the hct to be higher because their blood is less diluted 💦 Thanks for watching! 🙏
@dialysisnurselindsey
@dialysisnurselindsey 3 года назад
Towards the 30s
@joanasolarte6649
@joanasolarte6649 3 года назад
Thank you ! Made this so much easier !!!
@dialysisnurselindsey
@dialysisnurselindsey 3 года назад
@@joanasolarte6649 you are welcome, anytime 😊
@Melivisiona
@Melivisiona 3 года назад
Do you know how a home hemodialysis patient could get a crit line tx to make sure their target weight is a healthy one?
@dialysisnurselindsey
@dialysisnurselindsey 3 года назад
This is a great question and one I do not know the answer too... I’ll take a look at the fresinius Crit line website and get back to u 💜
@Melivisiona
@Melivisiona 3 года назад
@@dialysisnurselindsey thank-you for your time!
@dialysisnurselindsey
@dialysisnurselindsey 3 года назад
@@Melivisiona ur welcome, anytime :)
@dialysisnurselindsey
@dialysisnurselindsey 3 года назад
The Fresinius Website has a lot of great information. I'll include a link to their website/customer support. I'm thinking they will ask you about your nephrologist and what clinic/system helps you with your dialysis and go from there. fmcna.com/products/fluid-management/
@dialysisnurselindsey
@dialysisnurselindsey 3 года назад
@@Melivisiona Another way to help monitor fluid removal is with the blood pressure/MAP readings. I'm not as familiar with MAP but I'll do some research and work on a video about fluid removal and MAP readings. I'm sure you and your loved one are doing great! I am so proud of you for jumping in and wanting to learn everything you can. You are Awesome.
@bumblebee623
@bumblebee623 11 месяцев назад
Is that a fake fireplace?
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