HEMODIALYSIS PATIENT

BLS

• Ensure patient airway
• O2 saturation prn
• Give O2
• Ventalate if necessary

HEMODIALYSIS PATIENT

ALS

• Monitor EKG
• Determine time of last dialysis

HEMODIALYSIS PATIENT

ALS

FOR IMMEDIATE DEFINITIVE THERAPY ONLY

• IV access in arm that does not have graft/AV fistula SO.  Adjust prn

If unable & no other medication delivery route available:

• Access Percutaneous Vas-Catheter SO if present (asperate 5ml PRIOR to infusion)

OR 

• Access graft/AV fistula SO

HEMODIALYSIS PATIENT

ALS

Fluid Overload with rales:

• Treat as per S-136 (CHF/Cardiac)

HEMODIALYSIS PATIENT

ALS

Symptomatic Patient with Suspected Hyperkalemia (widened QRS complex and peaked T-waves):

• Obtain 12-lead EKG

If >72 hours since last dialysis:

• Continuous Albuterol 6ml 0.083% via Nebulizer SO
• CaCl2 250mg IV/IO SO
• NaHCO3 1mEq/kg IV/IO x1 SO

HEMODIALYSIS PATIENT

Subclavian catheter

HEMODIALYSIS PATIENT

Internal Jugular catheter

HEMODIALYSIS PATIENT

Arterio-Venous Fistula

HEMODIALYSIS PATIENT

Arterio-Venous Graft