I am a nurse in a 28 chair dialysis clinic, and our doctors
are implementing the new rule of removing no more than 13mL/kg/hr. I have read
the NNJ article on this issue and how pulling more than this amount causes
myocardial stunning. My question is concerning the exact calculation. The
current calculation we are using is “Estimated
Dry Weight X 13 X
Treatment hours”, then this number is used as the patient’s max. What this
formula does not take into account is prime, flushes, or the patient’s pre-treatment weight. What I thought was more appropriate is
“(Pre-Treatment weight X 13
X Treatment hours) + prime and/or flushes”. Can anyone tell
me how you use this formula in your clinic?
Thanks,
Angela Mathis BSN, RN