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KT/V - TEST DIAGNOSIS IN CHILDREN WITH ACUTE KIDNEY INJURY
Anvarov A. A.
Third year Master's Degree of Department of Pediatric nephrology
Mamatqulov B. B.
Scientific supervisor: Associate Professor Department of emergency pediatrics,
Salvation medicine, Candidate of Medical Sciences
Tashkent Pediatric Medical Institute
https://doi.org/10.5281/zenodo.11466976
When a patient begins dialysis treatment, whether it is hemodialysis or peritoneal dialysis
(PD), they begin to feel better as the blood begins to clear. To make sure that you are receiving
adequate dialysis, you need to schedule a laboratory test to check how well dialysis works on
the patient. The members of the Urea Union (URR) are like—minded due to the fact that they
have united, so, whatever it is, they are splitting up. If the patient undergoes hemodialysis
three times a week, each course of treatment should reduce the level of urea (also called AMC
or urea nitrogen in the blood) at least 65 percent.
The aim is to study an indicator for calculating how much creatinine and urea has been
purified in the blood of a patient on dialysis.
Research methods.
Ct/V, as before, are a large business audience.
K = clearance — the amount of urea that can become a dilizer (liters/minute).
t = time – duration of treatment (minutes)
V = volume — number of people in the div (liters).
For hemodialysis, recommendations to the Doctor were prescribed three times a week
(initiation according to the quality of the results of those holding a senior position). the main
value, Ct/V is not less than 1,2.
For continuous outpatient peritoneal dialysis (PAPD), the guidelines recommend a weekly IV
CT value of at least 2.0, taking into account any remaining kidney function during PAPD
treatment. To begin with, we strive to ensure that everything is done as efficiently as possible,
so that you produce within just 24 hours. URR and Kt/V tests. These laboratory tests are
performed monthly. Ct scan first/In general, it is produced quarterly. Ask your dialysis nurse
every time what your values are. If your values do not reach adequate figures, contact your
doctor to increase the dose of dialysis.
Results.
During hemodialysis, the blood pump is set to a constant speed to push blood
through the dialyzer back into the div. Your doctor prescribes the blood flow rate. This is
usually from 300 to 500 ml/min (milliliters per minute). Ask your technician to show you how
to determine the blood flow rate on your machine. When using many dialyzers, a blood flow
rate of more than 400 ml/min can increase the removal of toxins. The speed of blood flow is
limited by the size of the access, tubes and needles. The hemodialysis machine monitors the
pressure of your blood inside the tubes and the dialyzer. Depending on the device, blood
pressure is measured in one of two places. One of them is between your access and the blood
pump (blood pressure in front of the pump). The other is located between the blood pump
and the dialyzer (blood pressure after the pump). The hemodialysis machine measures the
venous pressure between the dialyzer and the access point. If your venous pressure rises
from week to week, it may mean a narrowing of the blood vessels in your access. Caught early,
it can be fixed.
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Conclusion
. To improve the washing of peripheral tissues, provide physical activity to
muscles and good blood flow. In the process of improving the treatment plan, the task is to
minimize complications and improve the quality of life of patients on hemodialysis. In order
to achieve the effectiveness of procedures, first of all it is necessary to pay attention to the
patient's state of health in order to make therapy as comfortable as possible.
References:
1.
Bonert, M.; Saville, B.A. (2010). "Dimensionless hemodialysis analysis".
2.
Gotch F.A., Sargent J.A. (September 1985). "A mechanistic analysis of the National
Collaborative Study on Dialysis (NCDs)". Kidney Int.