Unlock The Secrets Of Phosphorus - Must-know Facts For Dialysis Patients!

Рет қаралды 1,833

Күн бұрын

Dialysis Patient Education
Getting dialysis patients to care about their phosphorus levels can be challenging.
There are several good reasons for this. Firstly, they are already on a restricted diet. Additionally, phosphorus is commonly used as a preservative, making it difficult to limit its presence in foods.
Most importantly, patients usually feel fine even with high phosphorus levels. They may experience some itchiness, but their skin is consistently itchy. So, why should they care? How can I make them care?
-In my experience, one of the secrets to long-term success on dialysis (i.e., fewer hospitalizations, decreased mortality, preserving limb health) is maintaining phosphorus levels below 5.5.
-long term high phosphorus levels leads to calcification
-ok in English, long term phosphorus ultimately will decrease circulation to fingers, toes, hands feet, and with decreased circulation there is infections, necrosis, dying of limbs, this leads to amputation.
And I can make this complicated, they Reverse Feedback system of phosphorus and calcium, but let’s be honest; I find it fascinating, and maybe u do to, but when it comes to patient education, I need to keep it simple and be honest.
-insert pictures of calcified limps, necrotic tisue .
-here’s the scenario
-I eat foods high in phosphorus, and my kidneys can excrete, get rid of, urinate out the extra phosphorus
-people on dialysis, they eat foods high in phosphorus, and the kidneys can’t do this anymore
-so where does the blood go??
-the blood…high phosphorus
-and like most of us, the body has a backup plan. And the backup plan is Calcium
-high phosphorus, no problem, let’s bind with calcium, and deposit this Calcium/phosphorus product in the vessels, the heart, the hands, the toes, the fingers, the feet
-see where I’m going with this?
Plus, the body is doing its job to lower the phosphorus, but where does all the calcium go? Right? The calcium level is going to drop. Low calcium level symptoms show up as muscle weakness. So the body is like, big whoop, I have plenty of backup calcium. From where?! Omg the bones!! Then the bones get weak.
-solution: diet and phosphorus binders
-problem: binders can be constipating and people do not like to be constipated.
Hence the problem, high phosphorus levels lead to poor outcomes for dialysis patients-hospitalizations, death, loss of limbs, cardiac disease
-solution: educate. And then your patients can make informed decisions about their food intake and phosphorus binders.
-and! I take credit for ur education, document!
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DISCLAIMER: This video is intended for education purposes only and is not intended as medical advice
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00:00 Phosphorus
01:00 Phosphorus & Food
01:42 Secrets to Long Term Success
02:25 Long Term Complications
02:40 Phosphorus
04:25 Calcium
05:00 More Complications
05:38 The Solution
07:38 Clinic Medications

Пікірлер: 19

@cfgibbs4325 4 ай бұрын

Do you know if it's phosphorus that causes a non-dialysis patients PTH to go up? I'm late stage 4. Thanks so much for your videos. You're an excellent teacher.

@dialysisnurselindsey 4 ай бұрын

Yes, that is one of the reasons that should be evaluated for high PTH. PTH is the hormone that tells the body to release calcium from the bones. Great question!

@dialysisnurselindsey 4 ай бұрын

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@dialysisnurselindsey 4 ай бұрын

This video is kind of goofy, but it talks about the parathyroid hormone (PTH)

@cfgibbs4325 4 ай бұрын

I LOVED your "Torrid Love Affair" video! So cute. You've made it so easy to learn. Great fun. Many thanks.@@dialysisnurselindsey 🤩

@dialysisnurselindsey 4 ай бұрын

@cfgibbs4325 thank u!

@jcatmeowz 2 ай бұрын

you are amazing, thank you so much for sharing your knowledge

@dialysisnurselindsey 2 ай бұрын

Thank you so much!!

@ladybuggermanshepherdog8707 3 ай бұрын

Wonderful video, and I learned so much. Thank you!

@dialysisnurselindsey 3 ай бұрын

Awesome, ur welcome. Thanks for watching!

@tessanne7040 4 ай бұрын

Please more patient education videos. This was well explained info on symptoms and what high phosphorus can cause in the body. We don’t get this info in the Northwest kidney centers from the dietitians, nurses.

@dialysisnurselindsey 4 ай бұрын

Thank you so much for this. Will do!! 😌