Publications by authors named "Rick Jepson"

Hemolysis may be an infrequent cause of hemodialysis blood leak alarms. We report the case of an unresponsive adult male who was placed on hemodialysis with a high-flux dialyzer. Within five minutes, the blood leak alarm sounded.

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Overheated dialysate has been reported as a cause of fatal hemolysis, both acute and chronic. However, published incidents are several decades old and only include cases where the dialysate was overheated above 47 degrees C or where the temperature was not reported This case study examines an incident where a faulty plumbing valve introduced hot water into a cold line used exclusively ror inpatient dialysis in an intensive care unit, causing the dialysate temperature to raise as high at 39.8 degrees C before the treatment was terminated early.

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Unilateral neglect (UN) is a disorder associated primarily with right-brain damage; it causes individuals to behave as if the contralesional half of their world has become unimportant or has simply ceased to exist. This is the first known case study to describe and measure UN caused by an infectious process, meningoencephalitis. The patient was immune compromised as a result of antirejection drugs following a kidney and pancreas transplant, as well as from a baseline vulnerability common to patients with hemodialysis.

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The North American Nursing Diagnosis Association has recognized unilateral neglect (UN) as a nursing diagnosis for more than 2 decades. Such a designation implies that nurses primarily are responsible for assessing, treating, and researching the disorder. However, nurses have made few documented contributions toward this responsibility.

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