Adding value

PTR

Hello, what's happening?

Man with moustache

Hi, this woman is having plasmapheresis and she's reported some peri-oral tingling.  Her ionised calcium before we started was 1.3 so I started with the standard citrate flow, but since she's gotten these symptoms I've turned it down 40% because I'm worried that she might be getting a citrate induced hypocalcaemia.

PTR

Mmmmmmmm.

[to patient]

How are you feeling now?

Patient

A bit better I suppose.

PTR

[to man with moustache]

So what do you think?

Man with moustache

Well we're nearly finished and her symptoms have resolved somewhat.  I think we might as well continue on as we are.  She's due for another run tomorrow, so what I might do is leave a note for the home team asking them to give some calcium prior and start off the citrate at a lower flow rate as well.

PTR

Ok then, that sounds good.  Anything else I can help you with?

Man with moustache

No, that's all thanks.

PTR

It was nothing.