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Changing hemodialysis machine data into a usable patient care with Diascan
Author(s) -
Paille L.,
Nikl K.
Publication year - 2005
Publication title -
hemodialysis international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.658
H-Index - 47
eISSN - 1542-4758
pISSN - 1492-7535
DOI - 10.1111/j.1492-7535.2005.1121s.x
Subject(s) - medicine , hemodialysis , dialysis adequacy , intensive care medicine , dialysis , psychological intervention , clinical practice , emergency medicine , surgery , nursing
K/DOQI has set the national standard of adequacy in dialysis. Clinical practice assesses these standards using ‘routine’ blood work schedules that vary from every 4–6 weeks and calculates these results using different urea kinetic formulas. This variance may result in under‐dialysis of our patients that may not be detected until the next routine blood work. Comparing Kt/V blood work results using ‘snapshot’ laboratory results versus total run trending using Integra Diascan monitoring may help us define adequacy and may identify potential cost savings to the medical system and the hemodialysis patient. Diascan offers more than on‐line Kt/V monitoring of clearances; it also reports patient serum plasma conductivity. Serum plasma monitoring helps to identify potential excess fluid gains which may compromise dialysis treatments leading to poor clearances, which in turn leads to increased morbidity and mortality, as well as increasing costly dialysis interventions and potential emergent treatments. The small sampling of patients compared use a variety of vascular accesses and were examined for some of the barriers to effective ‘snapshot’ monitoring of Kt/V or PRU versus trending adequacy to explore the potential benefits and efficacy of the data obtained.