Pt attended scheduled hemodialysis treatment.Pt was alert, calm and lethargic.Predialysis bp 162/78, pulse 69, temp 96.8, resp 17.Hemodialysis was initiated via right internal tunneled jugular catheter.At approx 1513 dialysis initiated.Within mins unable to achieve prescribed blood flow rate.The venous bloodline was then reversed and connected to the pt's arterial (red) catheter port and the arterial bloodline was connected to the pt's venous (blue) catheter port.The hemaclip was secured to the venous bloodline and the pt's arterial catheter port.Hemodialysis treatment was resumed, bp 176/78, pulse 69, blood flow rate at 350.At approx 1530 the pt was noted to have difficulty breathing, was pale in color, the pt's right fingers and side of shirt noted with blood.The venous bloodline and the pt's arterial (red) port had become disconnected with the hemaclip remaining in place.The pt's catheter ports were clamped, approx 750ml of normal saline administered, 911 and cpr initiated.Pt transported to er.Expired in er at approx 1616.
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