Dialysis Patients and Their Machine Settings - Why Sodium Profiles Matter; Conductivity Profiles

Dialysis Patients and Their Machine Settings: Why Sodium Profiles Matter; Conductivity Profiles
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If you are new to dialysis, a nursing student, or new nurse, I know you have QUESTIONS about Conductivity settings on the dialysis machine, why theymatter, and why we use conductivity profiles for some of our dialysis patients.
You may even have CONCERNS.
But you can stop worrying because that's why I created this video.
I want you to be INFORMED.
I also want you to be RELAXED.
So let's address YOUR CONCERNS.
By watching these video, you'll likely have a much better UNDERSTANDING of the ANSWERS to your QUESTIONS about Conductivity settings on the dialysis machines.
In dialysis u will her the term conductivity, a lot. And the term can be confusing, until we break it down.
I am going to discuss:
1. What conductivity means
2. How we use conductivity in dialysis
3. How we used conductivity to help remove fluid in some of our patients
4. Reasons we wouldn’t use conductivity profiles
What is conductivity:
The term conductivity: we think electrical activity. And what makes water conductive is NA.
Conductivity is sodium
And what do we know about Sodium (Na)
1. Wherever Sodium goes, water goes
2. Normal Serum/blood sodium levels are 135-145
3. Rule of diffusion: molecules will move from an area of high concentration to lower concentration.
4. Osmosis: movement of fluid from an area of low concentration to high concentration U til the concentration is equal
These are things that we know to be true, and will help Us understand conductivity profiles in dialysis
Dialysate: Dialysis acid, Sodium Bicarbonate, Purified Water
The Dialyzer- semipermeable membrane
The blood stream/vascular space
Extravascular space-- We have edema/fluid in the lungs--
00:00 Conductivity = Sodium
00:50 Rules of Sodium
01:08 Diffusion & Osmosis
02:08 Conductivity Visuals
03:50 Fluid Overload Cycle
05:40 Conductivity Profiles
08:49 Why Wouldn't We use Conductivity Profiles?
10:37 Closing Song
DISCLAIMER: This video is intended for education purposes only and is not intended as medical advice
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!

[@Melvik123]

Hello just recently followed u. Thank u for doing this! Really help me refresh on dialysis theory and helps w/ nursing practice. I would like for u to discuss dialysis complications - emergency complications.

[@dialysisnurselindsey]

Love this topic! Added to my list, thank you 😊

[@misty59]

Thanks! You and your channel has literally been a Godsend to me! I just started a dialysis position and you help me greatly!

[@dialysisnurselindsey]

Thank u Misty… can’t do this alone….I remember what it was like to me new…ur doing great, I promise. Ur right on schedule 💜

[@Themadamdivine]

Thank you!!!

[@dialysisnurselindsey]

Ur welcome!! 😃

[@alimate1025]

Thank you so much... great content 👍 keep up the good work

[@dialysisnurselindsey]

Thank u!!!!!! 🥰😃

[@zyryldlr7691]

You’re amazing! Keep it up.

[@dialysisnurselindsey]

Thank u! 🤓🥰

[@neethumohan7894]

You are just awesome ❤

[@dialysisnurselindsey]

Thank u so much!!

[@DialysisStudy]

Very nice 👍

[@dialysisnurselindsey]

Thank u!

[@sheikha2412]

U explained it crystal clear 👍

[@dialysisnurselindsey]

Thank you!

[@amalkasir9767]

Really you are rock

[@ljubicabuba6814]

Bravo

[@dialysisnurselindsey]

Thank u!!!

[@raymondpatrick1415]

I have a huge problem at my dialysis clinic techs and nurses always hurt me with machine setting. The techs and nurses always say the machine sets the setting automatically today around 30 to 40 min left in my treatment I start feeling bad I started getting dizzy feeling discomfort in my head chest and stomach. The thing I noticed was my conductivity was fluctuating real fast between 13.4 to 13.5 in a blinking frequency then it went up to 15.0 for about 2mins then back to 13.4 to 13.5 blinking again to my session was done I felt real bad after my treatment and I have breathing problem now. And I have trying to leave this place since January 2022 with no success I'm still here. And I'm still here. Please help October 20 2022

[@sugarsipe7771]

I enjoy watching your videos as they make learning about dialysis both engaging and comprehensible. Would it be possible for you to create a video discussing the common emergency scenarios that acute and chronic nurses may encounter during dialysis, along with appropriate intervention/management strategies? Thanks.

[@dialysisnurselindsey]

Thank u so much Sugar! I will link in a couple of my favorite emergency videos…..

[@dialysisnurselindsey]

kzbin.info/www/bejne/joCxaXiLipxpY5Y

[@dialysisnurselindsey]

kzbin.infoUInVFttEsJw?feature=share

[@dialysisnurselindsey]

kzbin.infoMG_zGGlJxZ8?feature=share

[@dialysisnurselindsey]

A video with a mock code blue is a great idea 💡 thank u! I’ll get on it ❤️

[@siddharthg8801]

Very nice explaination. Thank You very much for making the video. I wanted to know this since long time. At the facility where I go for Dialysis I have observed that patients are unaware of dry weight concept. They need to be educated. I am already suggesting your videos to everyone at the facility.

[@dialysisnurselindsey]

Thank you for sharing…and for the idea 💡 dry weights can be difficult to understand 🤓 sounds like a video idea 🤗

[@siddharthg8801]

@@dialysisnurselindsey definitely

[@sunpay1]

Hi! I have watched all of your videos as they are extremely helpful for me as a new dialysis nurse at Davita! Can you please make a video more in depth about when you would use a crit-line and how you would adjust a patient’s target weight depending on the profile? I understand the three different profiles. Also what the last hct means at the end of the treatment to see if refill is occurring. I guess I’m just having difficulty understanding how to tell if target weight needs to be adjust when crit lining and what the hct can tell us. Hopefully that made sense. Thank you!

[@dialysisnurselindsey]

Peyton! I have been thinking about doing another Crit line video! Ur all the motivation I need 😀 thank u for commenting 💜

[@Super1abigail]

Not a dialysis nurse but I just went to nerd heaven watching his video. LOVE

[@dialysisnurselindsey]

Thank u!!!

[@dialysisnurselindsey]

Thank u!!! Maybe some day u will be!!!

[@gauravteck4192]

Aap ke yaha dialysis technician ki vacancy hai

[@felixasanteantwi]

Thanks for the info so client's with high sodium levels what will be their treatment plan ?

[@dialysisnurselindsey]

Not always. I haven’t seen many patients with high sodium levels. Usually low sodium levels because of dilution. Those patients are not usually on a conductivity profile. Thank u!

[@felixasanteantwi]

@@dialysisnurselindsey okay thanks

[@mohdshahrilsalleh3657]

If pt always got hypertension during dialysis, how much to setting sodium profile?

[@dialysisnurselindsey]

I wish I could answer this but it is outside of my educational purposes…great question for the provider

[@babychannel1424]

What acid do to conductivity??

[@vlogskashif]

Hi Do you have nurse to patient ratio guidelines for dialysis unit?

[@dialysisnurselindsey]

Our clinic does 1 nurse to 8 patients. Tech ratios 1:4…1:5 if we have too

[@Melvik123]

@@dialysisnurselindsey ours is 1:12 for nurses, for techs 1:4 to 5

[@dialysisnurselindsey]

Thanks VR 😊

[@sbrenner2561]

Is there a relationship between CO2 and sodium bicarbonate? I'm trying to understand this.

[@dialysisnurselindsey]

Not as it relates to the machine. But this is a great video topic idea! There is a relation to the kidneys and co2 when it comes to acid/base balance. I’m the hospital u will see people on a bicarbonate drip who have a kidney injury

[@moutmiraziz]

Bicarbonate 35+acide 132 = cenductivite

[@dialysisnurselindsey]

Thanks!

[@TheLyfestyle23]

What if facilities have conductivity That’s automatically set

[@dialysisnurselindsey]

Why can't we just call it Sodium?😇

[@rehanullah6366]

My patient is having sodium 101 , can i kept dialysis sodium 115 if not why kindly explain

[@dialysisnurselindsey]

These numbers seem off. Check your facility protocols. I need a doctors order to change the prescription. I recommend reaching out to ur doctor

[@sheikha2412]

Hi. Can u share ur slides?

[@alifeofafilipinanurse-nurs2173]

Why are u whispering