Nxstage dialysis pt who performed dialysis treatment at home.Pre bp 166/61, pulse 101, temp 97.1.At approx 1250 dialysis treatment was initiated via left upper arm avfistula with #15 gauge needles, arterial pressure -193, venous pressure 266, blood flow rate 450.Vital signs obtained approx every 30 mins.At approx 1515 arterial pressure -190, venous pressure 231, blood flow rate 450.At approx 1545 arterial pressure 4, venous pressure 140, blood flow rate 0.Patient was found by family member at undetermined time, with the fistula needle line disconnected from the dialysis line; 911 and cpr was initiated.Patient was transported to emergency room at approx 1640.Approx 3-4 liters of blood loss.Patient expired in emergency room.
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