DIALYSIS NURSING AND PASSING OUT: DON'T PANIC
Dialysis and Passing Out:
1: Don't Panic, you can fix this
2: Lay them Flat
3: Stop removing Fluid (Min UFR)
4: Get a blood pressure
5: Ask For Help
6: Keep talking to your dialysis patient if they are still awake
7: If they are passed out, open that saline until they wake up.
8: Put oxygen on the dialysis patient
9: Once you get them stable, call the provider

These steps happen quickly, and can be done in different orders.
Just remember to do them all.

If they do not recover after these steps, something else is going on. Check for a pulse and if you can't feel one, start CPR, get your AED and call 911.

What If they are dizzy and nausous, dizzy and vomititng?
1: Think critically. Can you lay them flat and turn them on their side?
2: Protect their airway, high risk of aspiration with nausea and vomiting and feel like they are passing out
3. Do not hesitate to give saline per your clinic protocol. It works, and it usually works fast.

Post LOC Huddle:
Critically assess what could have been done differently to prevent this from happening.
Was their UF goal too high?
Did the Crit line predict this?
Was their blood pressure trending down?
Does their dry weight need to be changed?

Once they recover from LOC they still might have other intradialytic symptoms. Cramping, Nausea, feeling wiped out after dialysis. Make sure you educated your dialysis patient as to what happened and why. Did they feel this coming, or did it happen quickly.

Many times patient's don't want to "be a bother." Educate the importance of letting the staff know if they are not feeling well on dialysis and why they might not be feeling well.

https://linktr.ee/NurseLindseySippl

00:00 Intro to Dialysis and Passing Out
00:53 Demonstration of LOC what to do
02:23 Fixed Her
02:40 Pro Tips
4:19 LOC Huddle and Calling Provider
5:16 Ending Credits

Disclaimer: This video is intended for education purposes only and is not intended as medical advice