Heparin Free dialysis Procedure | How-to accurate flushing in Fresenius Machine

Summary

In this informative video, a dialysis nurse from the Philippines shares practical tips for performing heparin-free dialysis using the Fresenius machine. After completing a series on hemodialysis, she discusses the challenges of transitioning from the B. Braun machine, particularly its user-friendly features like automatic alarms and timers. The nurse demonstrates how to accurately flush a 50 ml saline bolus by calculating the necessary time based on the blood flow rate. With a focus on precise technique, she engages viewers with step-by-step guidance, emphasizing the importance of math in ensuring effective dialysis procedures.

Takeaways

• 😀 The speaker is a dialysis nurse in the Philippines, sharing insights on heparin-free dialysis procedures.
• 📺 The video follows a series on hemodialysis, specifically focusing on the transition from a B.Bron machine to a Fresenius machine.
• 🔔 The B.Bron machine features a timer and alarm system that simplifies flushing, unlike the Fresenius machine, which requires manual calculations.
• 🧮 To calculate the time needed for a saline bolus flush, use the formula: Time (seconds) = (Volume (ml) * 60 seconds) / Blood Flow Rate (ml/min).
• ⏱️ With a blood flow rate of 150 ml/min, it takes 20 seconds to flush a 50 ml saline bolus.
• 📏 For accuracy, it's recommended to wait until the 21st second before closing the clamp after flushing.
• 🔍 The speaker encourages viewers to practice the calculations for different blood flow rates (e.g., 200 ml/min, 250 ml/min).
• 💡 Setting alarms on the Fresenius machine can help remind nurses to flush every 15 minutes during the procedure.
• 👩‍⚕️ The speaker emphasizes the importance of mastering the manual flushing technique for better accuracy and patient care.
• 🎥 Upcoming content will focus on blood transfusion procedures in dialysis, encouraging viewers to subscribe for more educational videos.

Q & A

What is the focus of the video by the dialysis nurse?

The video focuses on tips for performing a heparin-free dialysis procedure using the Fresenius machine.

What specific challenges does the nurse mention about transitioning from the B. Braun machine to the Fresenius machine?

The nurse notes that the Fresenius machine lacks certain features like screen warnings and a timer that help in managing dialysis procedures, making it more frustrating to use.

How does the nurse explain the importance of timing in the flushing process?

She emphasizes that precise timing is crucial for flushing the exact volume of saline, stating that it takes 20 seconds to flush a 50 ml bolus when using a blood flow rate of 150 ml per minute.

What formula does the nurse use to calculate the time needed for flushing?

The formula used is: flush volume (50 ml) multiplied by one second over the blood flow rate (2.5 ml per second), resulting in 20 seconds for the flush.

What additional blood flow rates does the nurse encourage viewers to try calculating?

She encourages viewers to try calculating the flushing time for blood flow rates of 200 ml per minute and 250 ml per minute.

What alternative methods does the nurse suggest for setting alarms during the procedure?

The nurse suggests using the automatic blood pressure setting on the machine to create alarms every 15 minutes, since the machine will alarm due to lack of blood pressure readings.

What practical item does the nurse mention using as a tool during the procedure?

She mentions using her vintage watch, which functions as both a calculator and a stopwatch, to assist in timing the flushing.

What does the nurse plan to cover in her next video?

In her next video, she plans to discuss blood transfusion in a dialysis machine.

How does the nurse engage with her viewers at the end of the video?

She encourages viewers to like the video, leave comments for suggestions, and subscribe to her channel for more content.

What is the nurse's overall message in the video?

The nurse aims to educate viewers on the specifics of performing dialysis safely and effectively, especially in adapting to different machines and ensuring precise procedures.