tag:blogger.com,1999:blog-4155770613355202151.post5894651515793172392..comments2024-03-27T19:02:41.430+05:30Comments on Kamal Shah's Blog: Pump up your dialysis speed!Kamal D Shahhttp://www.blogger.com/profile/10671037449347982821noreply@blogger.comBlogger12125tag:blogger.com,1999:blog-4155770613355202151.post-42126533899443731022019-01-12T03:22:30.443+05:302019-01-12T03:22:30.443+05:30I have found after one year on dialysis that the p...I have found after one year on dialysis that the pump Speed is very important to how I feel.I was getting very serious headaches at 400 pump speed.Some lasted 2 days.Started asking the nurse to lower the pump speed and I found the headaches were going away.I got the nurse to lower it to 340 and the headaches stopped.Im in the process of lowering it some more as Long as the blood tests look good after dialysis,I will keep lowering it to 300.Its way easier on your body after a dialysis session when pump speed is lower.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-4155770613355202151.post-76458086921031915442016-04-17T11:21:52.909+05:302016-04-17T11:21:52.909+05:30I dialysis 3x a week. Already 4 yrs on dialysis. B...I dialysis 3x a week. Already 4 yrs on dialysis. Blood pump 400. But i adjust myself if got problem. Nipro japan a good machine.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-4155770613355202151.post-74921137360170820392016-03-22T12:10:15.499+05:302016-03-22T12:10:15.499+05:30Oh! Increases to pump speed should be done gradual...Oh! Increases to pump speed should be done gradually especially if they are being done at high values. You should check with your nephrologist about any possible effect on your heart.Kamal D Shahhttps://www.blogger.com/profile/10671037449347982821noreply@blogger.comtag:blogger.com,1999:blog-4155770613355202151.post-81656907442697709642016-03-22T11:48:59.809+05:302016-03-22T11:48:59.809+05:30Yesterday i have horrible experience with pump spe...Yesterday i have horrible experience with pump speed. I requested Technician to change pump speed upt o 350 but he changed to 435. after 5 minutes there is shok like experience in my heart. Immediately informed to technician what happened. He told your pump speed is 435. i shouted and why you have increased and he reduced to 330. this is my first time experience. is it for high pump speed and is there any effect in future on my heart.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-4155770613355202151.post-88178968516896949782014-11-04T11:02:50.116+05:302014-11-04T11:02:50.116+05:30That is a low pump speed. What is his access? Are ...That is a low pump speed. What is his access? Are other patients in his centre also dialysing at similar pump speeds or is it only your husband?Kamal D Shahhttps://www.blogger.com/profile/10671037449347982821noreply@blogger.comtag:blogger.com,1999:blog-4155770613355202151.post-68282876382202931142014-11-03T23:22:48.378+05:302014-11-03T23:22:48.378+05:30Uma Srinivasan
My husband speed is between 100 to...Uma Srinivasan<br /><br />My husband speed is between 100 to 150 most of time , only once did it reach 170.<br /><br />How bad or good ios this speed and what is teh next step , if this has to be improved<br />pls adviseAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-4155770613355202151.post-84398009584671105582012-04-24T18:44:05.750+05:302012-04-24T18:44:05.750+05:30Vinod, there is already an effort underway that at...Vinod, there is already an effort underway that attempts to standardize this and many other aspects of dialysis treatments. <br /><br />Thrinath, the way it works is - the blood is continuously pumped out from the body and passed through the artificial kidney. In one pass, however much can be removed is removed and the blood is pumped back into the body. The toxins are not all removed in one pass. The greater the number of passes, the better the toxin removal. And the number of passes totally depends on the pump speed.<br /><br />And btw, no doubt is ever stupid Thrinath! I appreciate your attempt at trying to understand this better!Kamal D Shahhttps://www.blogger.com/profile/10671037449347982821noreply@blogger.comtag:blogger.com,1999:blog-4155770613355202151.post-13437803105802882892012-04-23T18:28:42.599+05:302012-04-23T18:28:42.599+05:30Kamal! I may sound stupid but still i have this do...Kamal! I may sound stupid but still i have this doubt.<br /><br />See, with what ever speed blood enters the dialyzer, it will have to find its way out <b>only after the toxins are cleaned</b> right? Then how is it that tolerable <b>high</b> speeds are recommended?<br /><br />If my understanding is right, the machine may draw low quantity of blood or high quantity of blood per second(lets say this way), but still it will have to do its job of recirculating whole quantity of blood for cleaning the toxins. And the dialisis will last till the whole blood is cleaned up. My question is to just understand this better.Thrinath Chakravarthy Jalamaduguhttps://www.blogger.com/profile/05395073354428751666noreply@blogger.comtag:blogger.com,1999:blog-4155770613355202151.post-19388539172055438352012-04-23T11:05:11.491+05:302012-04-23T11:05:11.491+05:30Best to stick to some "standards", rathe...Best to stick to some "standards", rather than let a Technician do his own thing, much like an Auto driver deciding how fast he can go on a particular road. These standards can be established by a bunch of experts in hospital situations and the manufacturer of the equipment.<br /><br />I would hesitate to give too much discretion to a Techie.<br /><br />Kamal's post can be treated as a point for Nephros and Manufacturers to discuss on the recommended settings and speeds.Madras Hashhttps://www.blogger.com/profile/01153260326663714291noreply@blogger.comtag:blogger.com,1999:blog-4155770613355202151.post-40343285317578891842012-04-23T06:25:29.544+05:302012-04-23T06:25:29.544+05:30Yes, every individual is different. While some peo...Yes, every individual is different. While some people do have a problem with high pump speeds, I see, at least in India, many people are unnecessarily being dialyzed at low pump speeds. And they can come only twice or thrice a week. My post was targeted to these people. They are regularly run at 250 ml/min whereas they can easily tolerate 300 - 350 ml/min.Kamal D Shahhttps://www.blogger.com/profile/10671037449347982821noreply@blogger.comtag:blogger.com,1999:blog-4155770613355202151.post-21809676131797969942012-04-23T02:41:29.318+05:302012-04-23T02:41:29.318+05:30I agree (with Anonymous); I myself am forced to st...I agree (with Anonymous); I myself am forced to stay with 250 ml/min because of a functional stenosis in my shunt (yeah, I will eventually run into trouble with this shunt--this shunt was the third attempt in the last two years).<br /><br />I plan to start home dialysis soon, and hope to stay with this value. I feel quite sick when the speed exceeds 280 ml/min. I get a bad headache.Shravan Vasishthhttps://www.blogger.com/profile/05926656325558456592noreply@blogger.comtag:blogger.com,1999:blog-4155770613355202151.post-16434774201941188922012-04-23T00:25:02.598+05:302012-04-23T00:25:02.598+05:30If pump rate exceeds arterial blood flow rate with...If pump rate exceeds arterial blood flow rate within access then excessively high pump rate can cause recirculation and processing blood from venous end of access.Anonymousnoreply@blogger.com