Acute Adequacy Case

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The most commonly evaluated clinical parameter measured in the ESRD population is the delivered dose of dialysis is by Kt/V. In this case, majority of the diabetic and non-diabetic population has an adequate dialysis based on their Kt/v (sp). But still many factors are needed to be considered. We should identify the possible causes for those patients who did not meet their required clearance. Check the patient’s vascular access. A Good vascular access provides adequate dialysis. Observe proper cannulation technique and rotate sites to prevent damage of the access. Proper priming should be observed to utilize the surface area of the dialyzer. Clotting of blood due to inadequate heparinization does not produce adequate clearance. The nurse should administer heparin per facility protocol or as ordered by the doctor. Monitor patient’s Kt/V through online clearance monitoring (OCM) to immediately evaluate the current urea clearance of the patient and to provide a prompt intervention and investigation as necessary.…show more content…
Looking at how well you are as well as looking at the results of the usual blood tests assesses this. However, special tests will also be carried out to make sure that enough water and waste products are being cleared from the blood, in order to keep you well. In the context of hemodialysis, Kt/V is a pseudo-dimensionless number; it is dependent on the pre- and post-dialysis concentration. It is not the product of K and t divided by V, as would be the case in a true dimensionless numberIt was developed by Frank Gotch and John Sargent as a way for measuring the dose of dialysis when they analyzed the data from the National Cooperative Dialysis Study. In hemodialysis the US National Kidney Foundation Kt/V target is ≥ 1.3, so that one can be sure that the delivered dose is at least 1.2.In peritoneal dialysis the target is ≥
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