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Video instructions and help with filling out and completing Home dialysis billing guidelines
Hello everybody I'm gonna stab my wife no well me goes on home hemodialysis I'm her home chemo nurse so we're gonna hook her up to her machine which is all set up here you have dialysate saline ya ever dialyzer which is her artificial kidney on this panel we press a bunch of buttons so we did adjust the blood flow rate that's the amount of blood and how fast it comes out of her body the UF bar which is an ultra filtration rate that's how much of the nasty stuff comes out of omegas blood and this is the dialysate flow rate which dictates how fast the dialysate goes against the flow of blood inside the dialyzer now the dialyzer acts that artificial kidney the blood inside the dialyzer does not mix with the dialysate it actually runs right next to the dialysate in an opposite direction the pressure of the blood and the pressure of the dialysate cause the ultra filtration effect so that all the bad stuff goes from the blood to the dialysate and and any extra good stuff that the blood needs that's in the dialysate goes from the dialysate into the blood that's all technical stuff they took awhile to learn I'm still getting the hang of it but the long and short of it is this helps clean her blood so Rebecca has on her lower left arm an arterial venous graft which means there's a little pipe inside of her arm that attaches to a vein at this point and an artery at this point the blood flow comes down her artery and goes through the vein going through the graft here's where we can access it one needle will go here for the arterial side one needle will go in this area for the venous side the arterial draws the blood from her body those through a series of tubes comes through the dialyzer gets all nice and spic and span cleaning comes back out goes in another tube that returns into the venous side basically if her blood leaves her body her entire blood supply leaves our body her body about five to six times within the three-hour period so it's about a cup of blood every minute so right now what we're going to do is we're going to inspect the site here field to make sure it's still vibrating normally you would listen for it also but she's been having a good a bunch of good session so we're not worrying about any kind of in outflow stenosis which means that there's a narrowing inside of the tube so instead of it being this open it could be this open and have a lot of extra pressure inside we don't have to worry about that not right now so we're gonna make an insertion site here and here but first we're going to clean it oh and I'm wearing a mask because I have a.