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Effect Of Sodium Combining With Ultrafitration Profiling Hemodialysis On JH3038 Machine

Posted on:2007-09-10Degree:MasterType:Thesis
Country:ChinaCandidate:L HuangFull Text:PDF
GTID:2144360212972268Subject:Internal Medicine
Abstract/Summary:PDF Full Text Request
Objective: To study the effect on the patients receiving hemodialysis of sodium profile combined with ultrafiltration profile(PHD) to reduce the incidence of dialysis side syndrome. To discuss the individual sodium and ultrafiltration profile for patients.Methods: 20 patients receiving regular hemodialysis were chosen. Each patient received conventional hemodialysis(CHD) first and then received sodium and UF step-down profile hemodialysis at 2, 4, and 6 weeks. The programs were readily available on JH3038 hemodialysis machines. Their blood pressure, pulse, electrolyte and acid-base toxin were monitored and complications incidence were recorded. The urea clearance and Kt/V were calculated.Results: According to CHD the incidence of hypotension is 28.3%; the incidence of muscle cramps, headache and nausea is 13. 3%, 10% and 6.67% respectively. These symptoms were significantly (P<0.05) decreased at 2, 4, and 6 weeks. Ultrafiltration of PHD is increased; and the dry weight in PHD is less than in CHD(P<0.05). There were no significantly differences of thirst, the decrease of serum sodium levels , electrolyte and interdialytic weight gain.Conclusion: Sodium and ultrafiltration profiling are effective techniques to reduce acute adverse side effects of hemodialysis without sodium gain-related complication. They improve well-being and dialysis tolerance, minimize interventions during dialysis.
Keywords/Search Tags:hemodialysis, sodium and ultrafiltration profile, ultrafiltration, sodium modelling
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