Seizures on Dialysis by Troy Mayo https://padlet.com/troydmayo/xv7bnhq1ulig Review the policy. Match it all up! Hint: Blue and gold to pink and purple ;) en-us 2018-02-14 18:44:29 UTC 2018-07-16 17:01:17 UTC hello@padlet.com FMS-CS-IC-II-125-021A Complications of Hemodialysis - Management and Prevention ofSeizures Policy troydmayo https://padlet.com/troydmayo/xv7bnhq1ulig/wish/231657117 https://fmc4me.fmcna.com/idc/idcplg?IdcService=GET_FILE&Rendition=Primary&RevisionSelectionMethod=Latest&dDocName=DOC_002802]]> 2018-02-14 18:47:24 UTC https://padlet.com/troydmayo/xv7bnhq1ulig/wish/231657117 Seizure troydmayo https://padlet.com/troydmayo/xv7bnhq1ulig/wish/231659022 2018-02-14 18:50:01 UTC https://padlet.com/troydmayo/xv7bnhq1ulig/wish/231659022 Involuntary muscle spasms caused by erratic electrical activity in the brain troydmayo https://padlet.com/troydmayo/xv7bnhq1ulig/wish/231659944 2018-02-14 18:51:30 UTC https://padlet.com/troydmayo/xv7bnhq1ulig/wish/231659944 Treatment Related Causes troydmayo https://padlet.com/troydmayo/xv7bnhq1ulig/wish/231660288 2018-02-14 18:52:08 UTC https://padlet.com/troydmayo/xv7bnhq1ulig/wish/231660288 Prevention troydmayo https://padlet.com/troydmayo/xv7bnhq1ulig/wish/231662766 2018-02-14 18:56:08 UTC https://padlet.com/troydmayo/xv7bnhq1ulig/wish/231662766 Secure bloodline connections troydmayo https://padlet.com/troydmayo/xv7bnhq1ulig/wish/231665367 2018-02-14 19:00:29 UTC https://padlet.com/troydmayo/xv7bnhq1ulig/wish/231665367 Avoid and treat hypotension troydmayo https://padlet.com/troydmayo/xv7bnhq1ulig/wish/231666134 2018-02-14 19:01:47 UTC https://padlet.com/troydmayo/xv7bnhq1ulig/wish/231666134 Severe hypotension troydmayo https://padlet.com/troydmayo/xv7bnhq1ulig/wish/231667079 2018-02-14 19:03:26 UTC https://padlet.com/troydmayo/xv7bnhq1ulig/wish/231667079 Dialysis disequilibrium syndrome (DDS) troydmayo https://padlet.com/troydmayo/xv7bnhq1ulig/wish/231667575 2018-02-14 19:04:20 UTC https://padlet.com/troydmayo/xv7bnhq1ulig/wish/231667575 Improperly prepared dialysate troydmayo https://padlet.com/troydmayo/xv7bnhq1ulig/wish/231668189 2018-02-14 19:05:31 UTC https://padlet.com/troydmayo/xv7bnhq1ulig/wish/231668189 Pre-existing seizure disorder troydmayo https://padlet.com/troydmayo/xv7bnhq1ulig/wish/231668459 2018-02-14 19:06:00 UTC https://padlet.com/troydmayo/xv7bnhq1ulig/wish/231668459 Verify dialysate is correct prescription for each patient troydmayo https://padlet.com/troydmayo/xv7bnhq1ulig/wish/231669318 2018-02-14 19:07:32 UTC https://padlet.com/troydmayo/xv7bnhq1ulig/wish/231669318 Monitor compliance with prescribed anticonvulsant medications. troydmayo https://padlet.com/troydmayo/xv7bnhq1ulig/wish/231670390 2018-02-14 19:09:19 UTC https://padlet.com/troydmayo/xv7bnhq1ulig/wish/231670390 Never use dummy chambers in the treatment area. troydmayo https://padlet.com/troydmayo/xv7bnhq1ulig/wish/231671165 2018-02-14 19:10:32 UTC https://padlet.com/troydmayo/xv7bnhq1ulig/wish/231671165 Signs and Symptoms troydmayo https://padlet.com/troydmayo/xv7bnhq1ulig/wish/231672441 2018-02-14 19:12:50 UTC https://padlet.com/troydmayo/xv7bnhq1ulig/wish/231672441 Jerking movements of the arms and legs (tonic and clonic movements) troydmayo https://padlet.com/troydmayo/xv7bnhq1ulig/wish/231673214 2018-02-14 19:14:12 UTC https://padlet.com/troydmayo/xv7bnhq1ulig/wish/231673214 Change in patient mood or levelof consciousness troydmayo https://padlet.com/troydmayo/xv7bnhq1ulig/wish/231674072 2018-02-14 19:15:47 UTC https://padlet.com/troydmayo/xv7bnhq1ulig/wish/231674072 Treatment on Dialysis troydmayo https://padlet.com/troydmayo/xv7bnhq1ulig/wish/231675445 2018-02-14 19:18:34 UTC https://padlet.com/troydmayo/xv7bnhq1ulig/wish/231675445 Notify the charge nurse/team leader. troydmayo https://padlet.com/troydmayo/xv7bnhq1ulig/wish/231676051 2018-02-14 19:19:35 UTC https://padlet.com/troydmayo/xv7bnhq1ulig/wish/231676051 Turn the “UF OFF” if necessary troydmayo https://padlet.com/troydmayo/xv7bnhq1ulig/wish/231676278 2018-02-14 19:19:59 UTC https://padlet.com/troydmayo/xv7bnhq1ulig/wish/231676278 Assess venous bloodline for air, foam bubbles or hemolysis. If present, immediately clamp blood lines and turn blood pump off. Remember COLT! troydmayo https://padlet.com/troydmayo/xv7bnhq1ulig/wish/231676437 2018-02-14 19:20:20 UTC https://padlet.com/troydmayo/xv7bnhq1ulig/wish/231676437 Turn patient’s head to the side to prevent aspiration and have suction available. troydmayo https://padlet.com/troydmayo/xv7bnhq1ulig/wish/231676933 2018-02-14 19:21:09 UTC https://padlet.com/troydmayo/xv7bnhq1ulig/wish/231676933 Secure and monitor patient access troydmayo https://padlet.com/troydmayo/xv7bnhq1ulig/wish/231677073 2018-02-14 19:21:23 UTC https://padlet.com/troydmayo/xv7bnhq1ulig/wish/231677073 Place on left side in Trendelenburg position: - Treatment for air embolism - Improves blood flow to vital organs - Prevents choking in case of vomiting troydmayo https://padlet.com/troydmayo/xv7bnhq1ulig/wish/231677730 2018-02-14 19:22:05 UTC https://padlet.com/troydmayo/xv7bnhq1ulig/wish/231677730 Maintain an open airway with head tilt-chin lift method. If possible, insert an oral airway between the patient’s teeth. Do not force an airway in place or attempt to pry open clenched teeth. troydmayo https://padlet.com/troydmayo/xv7bnhq1ulig/wish/231678269 2018-02-14 19:23:05 UTC https://padlet.com/troydmayo/xv7bnhq1ulig/wish/231678269 Check blood pressure and give saline bolus for hypotension troydmayo https://padlet.com/troydmayo/xv7bnhq1ulig/wish/231678645 2018-02-14 19:23:45 UTC https://padlet.com/troydmayo/xv7bnhq1ulig/wish/231678645 Administer ordered oxygen if indicated. Suction any accumulation of secretions. troydmayo https://padlet.com/troydmayo/xv7bnhq1ulig/wish/231679151 2018-02-14 19:24:42 UTC https://padlet.com/troydmayo/xv7bnhq1ulig/wish/231679151 Protect the patient from injury or harm. Do not hold the patient down, but move objects out of the way. troydmayo https://padlet.com/troydmayo/xv7bnhq1ulig/wish/231679423 2018-02-14 19:25:12 UTC https://padlet.com/troydmayo/xv7bnhq1ulig/wish/231679423 If possible, return blood and discontinue treatment. Flush and clamp vascular access. troydmayo https://padlet.com/troydmayo/xv7bnhq1ulig/wish/231679693 2018-02-14 19:25:40 UTC https://padlet.com/troydmayo/xv7bnhq1ulig/wish/231679693 Notifications troydmayo https://padlet.com/troydmayo/xv7bnhq1ulig/wish/231680304 2018-02-14 19:26:43 UTC https://padlet.com/troydmayo/xv7bnhq1ulig/wish/231680304 • Clinical Manager • Director of Operations or Area Manager • Attending Physician • Regional Quality and Clinical Quality Manager if patient is injured or hospitalized troydmayo https://padlet.com/troydmayo/xv7bnhq1ulig/wish/231680530 2018-02-14 19:27:07 UTC https://padlet.com/troydmayo/xv7bnhq1ulig/wish/231680530 Documentation troydmayo https://padlet.com/troydmayo/xv7bnhq1ulig/wish/231680926 2018-02-14 19:27:57 UTC https://padlet.com/troydmayo/xv7bnhq1ulig/wish/231680926 Document in the patient’s medical record, duration of seizure, time it ended, blood pressures, interventions and patient response to interventions, conversations with patient, physicians and any physician orders. troydmayo https://padlet.com/troydmayo/xv7bnhq1ulig/wish/231681214 2018-02-14 19:28:35 UTC https://padlet.com/troydmayo/xv7bnhq1ulig/wish/231681214 Complete documentation in accordance with QAI and Adverse Event policies. troydmayo https://padlet.com/troydmayo/xv7bnhq1ulig/wish/231681561 2018-02-14 19:29:17 UTC https://padlet.com/troydmayo/xv7bnhq1ulig/wish/231681561 Complete alarm testing prior to patient treatment initiation troydmayo https://padlet.com/troydmayo/xv7bnhq1ulig/wish/232505402 2018-02-16 20:23:16 UTC https://padlet.com/troydmayo/xv7bnhq1ulig/wish/232505402 Recheck blood pressure every five minutes troydmayo https://padlet.com/troydmayo/xv7bnhq1ulig/wish/269875595 2018-07-10 19:25:42 UTC https://padlet.com/troydmayo/xv7bnhq1ulig/wish/269875595 Be sure venous bloodline is threaded through the venous chamber alarm so that air detector functions properly. troydmayo https://padlet.com/troydmayo/xv7bnhq1ulig/wish/269875734 2018-07-10 19:27:47 UTC https://padlet.com/troydmayo/xv7bnhq1ulig/wish/269875734 Verify temperature and conductivity of dialysate are within acceptable range. troydmayo https://padlet.com/troydmayo/xv7bnhq1ulig/wish/269875984 2018-07-10 19:31:44 UTC https://padlet.com/troydmayo/xv7bnhq1ulig/wish/269875984 Assess EDW as needed to avoid intravascular volume depletion and hypotension. troydmayo https://padlet.com/troydmayo/xv7bnhq1ulig/wish/269876069 2018-07-10 19:33:06 UTC https://padlet.com/troydmayo/xv7bnhq1ulig/wish/269876069 Removal of anticonvulsants by treatment troydmayo https://padlet.com/troydmayo/xv7bnhq1ulig/wish/269876163 2018-07-10 19:34:51 UTC https://padlet.com/troydmayo/xv7bnhq1ulig/wish/269876163 Treatment induced hypoglycemia troydmayo https://padlet.com/troydmayo/xv7bnhq1ulig/wish/269876180 2018-07-10 19:35:34 UTC https://padlet.com/troydmayo/xv7bnhq1ulig/wish/269876180 Hemolysis troydmayo https://padlet.com/troydmayo/xv7bnhq1ulig/wish/269876198 2018-07-10 19:36:07 UTC https://padlet.com/troydmayo/xv7bnhq1ulig/wish/269876198 Air Embolism troydmayo https://padlet.com/troydmayo/xv7bnhq1ulig/wish/269876216 2018-07-10 19:36:28 UTC https://padlet.com/troydmayo/xv7bnhq1ulig/wish/269876216 Incontinence troydmayo https://padlet.com/troydmayo/xv7bnhq1ulig/wish/269876383 2018-07-10 19:40:29 UTC https://padlet.com/troydmayo/xv7bnhq1ulig/wish/269876383 Clenching of jaws, frothing at mouth troydmayo https://padlet.com/troydmayo/xv7bnhq1ulig/wish/269876429 2018-07-10 19:41:18 UTC https://padlet.com/troydmayo/xv7bnhq1ulig/wish/269876429 Confusion troydmayo https://padlet.com/troydmayo/xv7bnhq1ulig/wish/269876451 2018-07-10 19:41:52 UTC https://padlet.com/troydmayo/xv7bnhq1ulig/wish/269876451