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© 2007 Gambro Lundia AB Rev C1 Overview of Profiling for Hemodialysis
© 2007 Gambro Lundia AB Rev C2 Objectives Upon completion of this program, the participant should be able to: Define profiled dialysis Discuss the goals of profiled dialysis Define mechanisms involved during conductivity profiling and UF profiling Apply what is learned to individual cases in the clinical setting
© 2007 Gambro Lundia AB Rev C3 What Is Profiled Dialysis? The manipulation of dialysate conductivity or rate of ultrafiltration (UF) The goal of profiled dialysis is: To control sodium and fluid removal To maintain patient equilibrium To minimize or eliminate the side effects of dialysis
© 2007 Gambro Lundia AB Rev C4 Why Use Dialysis Profiling? Patients may survive longer Improves tolerance to dialysis treatments Currently in dialysis treatments without profiling, there is a 30% - 40% incidence of side effects, including: Nausea, vomiting Hypotension Angina Cramping Vascular instability Applying profiling to dialysis treatments may reduce or eliminate untoward treatment side effects.
© 2007 Gambro Lundia AB Rev C5 Patient Symptoms: Hypotension Headache and Loss of Consciousness Nausea and Vomiting Angina Cramping
© 2007 Gambro Lundia AB Rev C6 Hypotension in HD Contributing factors : Decreased cardiac reserve Declining plasma osmolality High UF rates, volume depletion Antihypertensive drugs Autonomic nerve dysfunction The ability of the heart to respond to the body’s needs Sodium and solute loss Blood vessels do not respond to low blood pressure
© 2007 Gambro Lundia AB Rev C7 Assess “dry” weight accurately Assure the correct dialysate concentrations Na+ > 140 mEq/l, bicarbonate buffer Use of sequential UF then dialysis Others Lower dialysate temp from 37ºC to 35ºC Proper positioning the patient Normal saline bolus Hypertonic saline Treatment of Hypotension And now, you can add Conductivity Profiling and/or Ultrafiltration Profiling to your list of treatment options.
© 2007 Gambro Lundia AB Rev C8 Caution: Federal Law (USA) restricts this device to sale, by or on the order of a physician Read Instructions for Use prior to patient application Trademarks used herein are owned by or licensed to Gambro.Inc
1 Overview of Profiling for Hemodialysis. 2 Objectives Upon completion of this program, the participant should be able to: Define profiled dialysis. Discuss.
1 Profiling Conductivity. 2 Cellular Solute/Fluid Exchange Gambro Basics 1 (1994) All the membranes are semi-permeable allowing water to move freely between.
How best to control salt overload in hypertension? - Dietetic? - Aligning dialysate sodium with patient's serum sodium -Prohibition of sodium profiling.
1© 2007 Gambro Lundia AB Rev C Profiling Ultrafiltration.
Single Needle Hemodialysis Caution: Federal Law (USA) restricts this device to sale, by or on the order of a physician. Read Instruction for Use prior.
Strategies for Improving Adequacy Decreasing the Risk of Premature Death Educate Your Dialysis Team Review Proper Procedure for Drawing Lab Samples - Lab.
What is Hemodialysis? Shahrzad Ossareh-M.D ml/min ml/min Diffusion Convection.
1. 2 History Dialysis is a Greek word meaning "loosening from something else". Dialysis is referred to as "selective diffusion”. Diffusion is the movement.
Environmental Concerns. Hyperthermia Heat Stress 1. The body will function normally as long as body temperature is maintained in a normal range. 2. Maintaining.
Hemodialysis: Core Curriculum 2014 Am J Kidney Dis. 2014;63(1): 위지완.
By: Janel Canty RNS (Osborn, 2010). Objectives To understand Hyponatremia To be able to recognize hyponatremia in a clinical setting Be able to apply.
Fluid & Electrolyte Imbalance N132. Fluid Imbalance.
PRINCIPLES OF DIALYSIS DR SAAD ALSHOHAIB ASSOCIATE PROFESSOR IN MEDICINE AND NEPHROLOGY KAUH.
HEMODIALYSIS ADEQUACY HEMODIALYSIS ADEQUACY Laurie Vinci RN, BSN, CNN Laurie Vinci RN, BSN, CNN September 17, 2011 September 17, 2011.
Heart Failure, HF CHF develops when plasma volume increases and fluid accumulates in the lungs, abdominal organs (liver especially), and peripheral tissues.
Concept of dry weight in haemodialysis. Introduction Achieving and maintaining dry-weight appears to be An effective but forgotten strategy in Controlling.
Electrolyte Review Use the slide show to test you knowledge of electrolyte balance. Launch the slide show and try to answer the questions.
Ultrafiltration Control using Hematocrit Monitoring 2013 ANNA North Carolina Statewide Symposium and the Southeastern Kidney Council NC Annual Meeting.
January 28, Deficit of water in relation to total body sodium Serum Sodium: >145 Severe: >160.
Fluid and Electrolyte Imbalance Acid and Base Imbalance.
What is sodium modeling in hemodialysis patients? What is sodium modeling in hemodialysis patients?
DIALYSIS Dr. Frank Edwin. CAUSES OF RENAL FAILURE Diabetes Untreated high blood pressure Inflammation Heredity Chronic infection Obstruction.
1 © 2012, Gambro Lundia AB IQD Solutions for You and Your Patients.
Fluid Balance. Body Fluid Spaces ECF: Interstitial fluid ICF 2/3 of body fluid ECF Vascular Space.
Electrolyte Substance when dissolved in solution separates into ions & is able to carry an electrical current Solute substances dissolved in a solution.
The Clinical Guide “A Guide to Implementing Renal Best Practice in Haemodialysis“ Chapter 5: Anticoagulation Team Leader: Angela Henson Co-authors: Franta.
Urinary System Diseases. Objective To describe the symptoms, causes, and treatments for Kidney Stones, Urinary Tract Infections, and Renal Failure.
MANAGEMENT OF CONTINUOUS HEMODIALYSIS APACVS CONFERENCE. July 12, 2013 Naveed Masani, MD.
Fluid, Electrolyte and Acid- Base Balance Chapter 27 (26)
Fluid and Electrolyte Imbalance 12/12/ Water constitutes 60% of the total body weight in adult Younger adults have more fluid than elder Muscle.
Slide 1 Mosby items and derived items © 2012 by Mosby, Inc., an affiliate of Elsevier Inc. Fluid and Electrolyte Balance.
CHAPTER © 2012 The McGraw-Hill Companies, Inc. All rights reserved. 25 Diuretics.
Urinary System. Secreted Substances Secreted Substances Hydroxybenzoates Hydroxybenzoates Hippurates Hippurates Neurotransmitters (dopamine) Neurotransmitters.
Other Medicines. Andrenergic Antagonists (Blockers) Bind to receptor site but do not cause an action Bind to receptor site but do not cause an action.
Sodium flux during dialysis Sushrut S. Waikar, MD, MPH Renal Division Brigham and Women’s Hospital, Harvard Medical School.
Diabetic Ketoacidosis DKA). DKA is caused by an absence or markedly inadequate amount of insulin. This deficit in available insulin results in disorders.
Electrolyte Disturbance Dr. Khalid Jamal Hamdi.
Treatment of Metabolic Acidosis in CKD Presented by Pharmacist: Ola Mohammad Elkersh PharmD student
Hyponatremia Adalyn Almora Questions 3 and Compute for the plasma osmolality and the effective plasma osmolality. What is the importance of computing.
Hemodialysis Prescription Shahram Taheri M.D. Associate of Prof. Isfahan School of Medicine.
Md.Kausher ahmed Electrical department. Biomedical engineering Code:6875.
Water & Electrolyte Balance. The Body as an Open System l “Open System”. The body exchanges material and energy with its surroundings.
4/9/08 Urinary System Chapter 24 – Day 4. 4/9/08 Renal Failure Decrease or increase in normal renal function Acute & Chronic – discussed in next few.
Shock. Shock Evaluation & Management Definition of Shock A condition that occurs when tissue perfusion with oxygen becomes inadequate. Hypoxia.
Maintaining Water-Salt/Acid-Base Balances and The Effects of Hormones Urinary System.
RENAL DISEASE CAITLIN MCFARLAND JENNIFER SEEGERS RICKY TURNER.
Body Fluids. Objectives Outline the functions of water in the body. State how water content varies with age and sex. Differentiate between intracellular.
Body fluids Electrolytes. Electrolytes form IONS when in H2O (ions are electrically charged particles) (Non electrolytes are substances which do not split.
Water, Electrolytes, and Acid-Base Balance $100 $200 $300 $400 $500 $100$100$100 $200 $300 $400 $500 Body Fluids FINAL ROUND ElectrolytesAcid-BaseClinical.
WATER BALANCE Kidneys maintain water balance in the body. Humans' water reserves are depleted faster than their food reserves. Under normal activity levels.
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