They’re the only true 1:1’s on my unit now a days!
@MommaNurse2 жыл бұрын
We are slowly getting back to this standard but it has been very tight.
@MGuitarde2 жыл бұрын
We don't even have 1:1 on ECLS. Here in Germany we tend to never have less then 2 patients. Cause we simply do not have enough Nursing staff... It's not a lot of fun at the moment.
@margaretmassay51854 ай бұрын
How do you differentiate clotting and clogging?
@rixita3 күн бұрын
@@margaretmassay5185 Just learned this from my instructor this week: cloGGing: Going Great! TMP numbers are increased which is expected when the membrane is clogging from all the particles getting filtered out (from what i understand so far..). Return the blood and change the filter.
@rixita3 күн бұрын
cloTTing: Totally Terrible. Delta P (pressure drop) is increasing, this means that we gotta figure out a better way to avoid clotting again, this is where we can have the MD order anticoags and or increase the PBP/BFR so the blood doesn’t have time to clot. If this is not addressed you’ll have to keep having to replace the filter often which delays the treatment. I’m still learning about crrt but i figured i’d share my notes thus far!
@thejewelryspot99692 жыл бұрын
Thank you for all of this valuable information Momma Nurse!! 😊
@MommaNurse2 жыл бұрын
Thanks for watching ❤️
@elyssafigueroa51773 жыл бұрын
Great video! Thank you
@MommaNurse3 жыл бұрын
No problem. Glad you enjoyed it.
@rhirhi72603 жыл бұрын
Great Video!!! It's 1:1 at my facility. Can you explain how to calculate how much to remove each hour?
@MommaNurse3 жыл бұрын
We have a flowsheet that we use. It's rounded to the nearest tens, and based off of the previous hour patient fluid removal.
@CelestesKingdom2 ай бұрын
Can make a video for the calcucations of the number!
@MommaNurse2 ай бұрын
@@CelestesKingdom it’s based on what the doctor orders. So it would honestly be very confusing to protray the calculations in video. But, let me see what I can do
@Dasming2 жыл бұрын
How do you know it’s clogging vs. clotting?
@MommaNurse2 жыл бұрын
When it is clogging you will get an increased TMP. It’s typically a good rule of thumb to get ready for a circuit change when your TMP is at about 200.
@FF-bf1cw Жыл бұрын
How do you differentiate clogging from clotting? You didn't explain
@MommaNurse Жыл бұрын
When it is clogging you will get an increased TMP. It’s typically a good rule of thumb to get ready for a circuit change when your TMP is at about 200. When it is clotting your machine will give you a hard stop alarm instructing you to change your circuit so that the clots do not reach your patient.
@pkalpalatha56213 жыл бұрын
Nice information thanku
@elydiamiles21042 жыл бұрын
Nope, paired crrt patients all the time at my facility.
@MommaNurse2 жыл бұрын
That’s rough! What State are you in?
@elydiamiles21042 жыл бұрын
@@MommaNurse texas!, I start crrt training in June so I'm nervous about the ratios and how well I catch on😅
@MommaNurse2 жыл бұрын
@@elydiamiles2104 hopefully they allow you a preceptor or something for your first one, if they don’t do 1:1 starting out. Praying your training goes well.
@elydiamiles21042 жыл бұрын
@@MommaNurse thanks so much!
@MommaNurse2 жыл бұрын
No problem
@emilyraejones72407 ай бұрын
At Cleveland Clinic in CVICU this is not a 1:1 assignment.
@MommaNurse7 ай бұрын
Oh wow! I would have definitely thought it would be 1:1 there. Thanks for sharing.
@virgiecasanovateambellasyt92603 жыл бұрын
thankyou for.sharing mam
@rnsf51692 жыл бұрын
We have 1:1 When clogging do you increase or decrease the replacement fluid
@MommaNurse2 жыл бұрын
That’s good! When clogging you would want to decrease the replacement fluid rate. Keep in mind this will be just a temporary “hold over” you will eventually need to change out your circuit.
@rnsf51692 жыл бұрын
Got it! Cause less volume = less pressure…. Saving a little time but eventually having to change any way! Thanks for the confirmation!
@MommaNurse2 жыл бұрын
Exactly! Blessings on your nursing journey.
@rnsf51692 жыл бұрын
@@MommaNurse thank you! So glad I found your video…subscribed!💛
@MommaNurse2 жыл бұрын
Thank you ❤️
@chaoticofam8 ай бұрын
1:1 assignment here.
@MommaNurse8 ай бұрын
😊😊😊
@feshawndavisespinosa31653 жыл бұрын
Have you ever hear of flushing the filter
@MommaNurse3 жыл бұрын
No, I don't believe I have. Would you care to explain?
@feshawndavisespinosa31653 жыл бұрын
As soon as I find out I’ll share, spoke with Gambro they where kinda familiar
@MommaNurse3 жыл бұрын
@@feshawndavisespinosa3165 sounds like a plan
@TravelnurseMercy812 жыл бұрын
but you can have intermittent CRRT
@MommaNurse2 жыл бұрын
what do you consider intermittent? I have had patients in which we do a trial to see if they can tolerate not being on CRRT but, other than that its been continuous.
@TravelnurseMercy812 жыл бұрын
@@MommaNurse So it's weird because our patients go on CRRT at this hospital for 12hrs then every other day depending on their labs. literally, I come in and have to take them off CRRT on like Monday then they don't have CRRT again Wednesday. I had a patient who even skipped their CRRT because Nephro stated labs were good. eg phos and K not even an improvement in kidney function for an AKI. Seemed to me like they were treating it like "hemodialysis".
@TravelnurseMercy812 жыл бұрын
@@MommaNurse Also at times they do 6, or 12 hrs
@MommaNurse2 жыл бұрын
@@TravelnurseMercy81 wow that’s crazy, and very expensive! All those circuit changes. They might as well just do hemodialysis lol. I wonder what their rationale is for doing it that way?
@MommaNurse2 жыл бұрын
@@TravelnurseMercy81 I’m shocked. We would only do that short of a treatment if the patient couldn’t tolerate CRRT after adjustments to the settings, adding more pressors, etc.
@giegiehelison15543 жыл бұрын
hello momma nurse i like to join your valentines giveaway cash Virgie Casanova ❤❤❤
@pepitobenegas24 күн бұрын
Jesus I would never be an ICU nurse 🤮
@MommaNurse23 күн бұрын
@@pepitobenegas lol there’s a specialty for everyone ❤️❤️❤️
@elezebethsebastian41953 жыл бұрын
Useless vedeo. U have demonstrate it. Other wise no use
@MommaNurse3 жыл бұрын
I appreciate your input maybe that can be a future video.