THE INFAMOUS HD Question: How Much Fluid to Remove at Dialysis

I know you have the famous HD QUESTION: How Much Fluid to Remove on your patient at dialysis.
You may even have CONCERNS.
But you can STOP WORRYING because that is why I created this video.
I want you to be INFORMED.
I also want you to be RELAXED.
So let's address your concerns about how much fluid to remove on your dialysis patient--by watching this video, you'll likely have a much better understanding of the answers to your questions that have been on your mind about fluid removal.
DIALYSIS NURSES SUPPORTING NURSES Facebook Group-- / 215559410197295
RN since 2008, Certified Dialysis Nurse, and Nurse Practitioner
CURRENT FUN READ ABOUT NURSING:
I Wasn't Strong Like This When I Started Out: True Stories of Becoming a Nurse- amzn.to/35OmFbn
#dialysiseducation #dialysisassessment #dialysisnursing
00:00 Dry Weight = Ideal Weight
00:39 Shortness of Breath
01:04 Lung Sounds
01:15 Swelling
01:34 What does your pre and post dialysis weight mean
02:04 Blood Pressure
02:32 Removing Too Much Fluid?
03:25 Fluid Restrictions
04:10 Why Fluid Gains Are So Important
04:30 Wrap Up
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

[@dialysisnurselindsey]

facebook.com/groups/215559410197295 Link Above to My Facebook Group: Dialysis Nursing Made Easy: Nurses Supporting Nurses. This is a great group for Dialysis Nurses-- Both Novice and Experienced. Lots of fun to have here!

[@sugarsipe7771]

Thank you for providing such informative and helpful videos. Your knowledge and expertise make you an ideal mentor and preceptor for me. I hope that in the future, you consider offering live online courses for new dialysis nurses. Your videos are extremely valuable resources for those who are new to the field. Thank you for your dedication and hard work.

[@dialysisnurselindsey]

Thank u so much!!! Live online courses are on my wish list 😊

[@awaischaudary8885]

Was too helpful mam

[@Specialcowgirl69]

Thank you for this video I have the most impatient preceptor that loves to talk down to me and sometimes patients when we have questions that we are having trouble understanding. In my computer training they only taught us to subtract target weight from the weight they came into the clinic with. Nothing about accounting for treatment tolerance and BP. When we are moving fast my preceptor asks me to type in the goal and I have no idea what to do and she yells really loud infront of patients that I am “not studying” or “paying attention” I am I just don’t understand calculating the goal based on the patient without taking time to think about. On the spot I’m unsure. It’s really embarrassing to be yelled at infront of patients. The FA over heard and said she’s being a little too tough, but she responded that she has told me many time before and I’m not comprehending it. I am not when I only have 30 seconds to think about it and then when I ask for help after our shifts everyone tells me that it will depend on the patient and getting to know them better 🤦🏾‍♂️ how am I supposed to not look dumb?!?!? Everything else I am doing right and fast. I’m even 6 weeks into training out of 12 and I have passed my exam with a 95%, I canulate without missing, I get our bay turned over fast, yet I’m still not “studying & comprehending”. 😣 I’m also doing all this going to school full time and taking care of my family.

[@NinaNina-kr2df]

Sorry I have to ask, we encourage the patients to eat proteins or carbohydrates? I know that there is a limitation about 60 g of protein per day and I am not sure if I got this right ( hence restricted kidney function to eliminate waste ). I also watched the video for cramping and I understood why we need to encourage someone who is low on protein, and how this can affect the oedema. I am just starting , , thanks a lot for your amazing videos, you are such a blessing

[@GGGORIO]

My friend's weight gain is 10kg 4days after Christmas. Feel sorry for him. He has edema from face to feet.

[@dialysisnurselindsey]

Poor guy. The holidays can be very tough

[@dialysisnurselindsey]

What do you feel like right before your dialysis treatment?

[@phillipminnich5230]

I usually feel fine. I always feel worse after treatment

[@anishatamang74]

Plz help me sister during dailysis 2 hours my bp 190)130 and dailysis end pressure low 100/60 what to do tell me

[@dialysisnurselindsey]

Please discuss with ur nurses and doctors 🥼

[@lorihartwell9113]

need to mention the critline

[@dialysisnurselindsey]

Most definitely. Thanks for the tip!

[@dialysisnurselindsey]

kzbin.info/www/bejne/gKXVe2SXmqaBesU. CRIT LINES!!

[@simplycj899]

What does it means by below or above EDW?

[@dialysisnurselindsey]

EDW- estimated dry weight. The weight the person would be if they made a normal amount of urine

[@pattystone4157]

So how do you get them to listen when you cramp after every dialysis. And your blood pressure is always low. Spend a day puking and dizzy and you actually miss the next dialysis because you’re so sick. I have no fluid restrictions and have an ileostomy so I dehydrate super quick but no one listens to me. It’s like I’m screaming in the wind. Not to mention. I still pee. So what the heck are they actually doing to help me?! Argh!

[@dialysisnurselindsey]

Oh Patty my heart goes out to u! All I can say is it is ur right to dictate ur care, and ultimately ur fluid goals. I would also suggest asking for a care conference so u can all talk about ur goals and plan of care. 🫂 💡

[@jeff824]

Is it better Patty? I'm in the horrible vomiting post/during dialysis now. I think I will ask my dry weight to be elevated about 5 pounds. The intensity of the nausea and vomiting is tough.

[@hazelxeyeslara2043]

HELLO I JUST FOUND UR UTUBE MY MOM JUST STARTED DIALYSIS AND THE AMOUNTS OF FLUID THEY TAKE OFF IS ERATIC DEPENDING YES ON WEIGHT AND WHAT NURSE SHE GETS. IS THERE A FORMULA THAT THE NURSES USE TO CALCULATE HOW MUCH FLUID U TAKE OFF? LIKE THIS # WEIGHT GAINED DIVIDED BY OR MULTIPLY BY? I HOPE THIS MAKES SENSE LOL 😂

[@dialysisnurselindsey]

They take her weight from today and subtract the weight from her last treatment. Weight gain between treatments should be about 2 kgs. Depending on her fluid intake and any urine output. Ask about ur moms fluid restriction

[@dialysisnurselindsey]

Goal is for her to leave at the same weight she left at last treatment. Will take off more if have swelling or shortness of breath.

[@dialysisnurselindsey]

Thanks for ur question!

[@bandenawazbandenawaz]

Dialysis technician vecancy any where

[@Luke747gal]

At 2:00 did you mean 1 kilo of weight equals 1 liter of fluid?

[@dialysisnurselindsey]

I sure did. Good catch!

[@Luke747gal]

@@dialysisnurselindseyI love your videos for education in this specialty. Keep up the excellent work! Thank you!

[@dialysisnurselindsey]

This means so much to me!! Thank you so so much! :)