Pre-dialysis assessment part 6

Haemodialysis 5

 

TEMPERATURE

Ideally 35.8-37 C and should be comparable with previous pre-dialysis recording

  • Outside this range consider sepsis, hypothermia
  • Ensure no obvious access infection following central  venous access device protocol
  • Question as to whether patient has been systematically unwell at home e.g. fevers, rigours, poor appetite
  • Question patients with regards to localising symptoms of infection (e.g. ear, throat, coryzal, cough), diarrhoea, vomiting, urinary and skin breaks. Take skin swabs, urine cultures if indicated
  • Follow blood culture procedure
  • Discuss with unit consultant if concerns

 

RESPIRATORY RATE

Ideally 18-24 rpm

Outside this range consider fluid overload or other respiratory condition, sepsis

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