A KidneyBuzz.com viewer wrote, "I am having an issue with my dialysis nurse adjusting my blood temperature. It is freezing cold at dialysis and I know one of the reasons is that my blood temperature is too low. It needs to be adjusted upward and she refuses. Just that one adjustment would make dialysis much more bearable. What can I do?"
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As all Chronic Kidney Disease patients conducting Dialysis know, the Dialysis process sends your blood through the Dialysis machine in order to filter out waste and toxins and then sends the clean blood back into your body. However, when the blood is outside of the patient’s body, it becomes cool, but when it flows through the dialyzer alongside the dialysate solution, it warms up again. Hence, the temperature of the Dialysate (Dialysis Solution), as well as your body temperature, is taken into consideration during the treatment. If you are cold during Dialysis it may be a result of a colder blood temperature and a simple adjustment of one degree or less upward may make a big difference.
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The dialysis machine is programmed to monitor the Dialysate to be sure it is in the correct temperature range to ensure that it is not too hot. Alarms are set to go off if the Dialysate temperature goes too high or low during the treatment. Slight differences in temperature may occur during treatment depending on your temperature and dialysate temperature. Some patients feel colder because of this difference. Normal body temperature is between 95 to 98.6 degrees Fahrenheit or 35 to 37 degrees Celcius.
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If you simply ask your nurse to adjust your Dialysis Machine temperature upward or downward slightly, she likely will not. Chronic Kidney Disease and Dialysis patients typically must ask their Nephrologists specifically to place a note in their file about the desired blood temperature that works for them.
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You have a right feel comfortable during your Dialysis Treatment. Hence, if you still are not being allowed to adjust your temperature, then contact the End Stage Renal Disease Network in your area. Also, order your Dialysis Patients' Rights Book (click here) for the specific process to help correct any issues you are having at Dialysis without controversy, retribution or being blacklisted.
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