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KOMBİNE SODYUM VE ULTRAFILTRASYON MODELLEMESÎNÎN HEMODİYALİZDE GÖRÜLEN SEMPTOMLAR ÜZERİNE ETKÎSÎ

EFFECTS OF COMBINED SODIUM AND ULTRAFILTRATION MODELLING ON SYMPTOMS OCCURRING DURING HEMODIALYSIS

Journal Name:

  • Türk Nefroloji, Diyaliz ve Transplantasyon Dergisi

Publication Year:

  • 1999

Key Words:

Keywords (Original Language):

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Abstract (2. Language): 
A prospective study of 8 weeks duration has been performed to evaluate if combined sodium and ultrafiltration (UF) modelling could affect the incidence of symptoms occurring during hemodialysis. During the first four weeks patients were given standard hemodialysis. All patients were questioned if they had complaints of headache, light headness, nausea, vomiting, palpitation, dispnea, blurring of vision. Additionally nursing interferences and vital signs were recorded. In the same manner, all questioning and registration were carried out during the second four week period (sodium and UF modelling period). During both phases serum samples for sodium determination and dialysate samples for dialysate sodium determination were taken midweek session. When vital signs, complaints and interferences in each phase were considered no the frequlnay of the symptoms were decreased in the secondphose although statistical difference was observed. Combined sodium and UF may improve quality of dialysis and decrease the number of interferences.
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Abstract (Original Language): 
Kombine sodyum ve UF modellemesi tedavisinin hemodiyalizde görülen semptomların görülme sıklığım ve hemşirelik müdahalelerini değiştirip değiştirmediğini araştırmak amacıyla 8 haftalık prospektif bir çalışma planlanmıştır. Çalışmada 4 haftalık iki dönemde (ilk dört hafta standart diyaliz, ikinci dört hafta sodyum+ UF modellemesi ) baş ağrısı, baş dönmesi, bulantı, kusma, kramp, çarpıntı, nefes darlığı ve bulanık görme gibi semptomların, diyaliz seansında var olup olmadıkları, ayrıca her hemodiyaliz seansında yapılan hemşire müdahaleleri, vital bulgular kaydedilmiştir. Kan sodyum konsantrasyonu tayini için diyaliz başlangıcı, ortası ve sonunda kan örnekleri, diyalizat sodyum konsantrasyonu tayini için giriş ve çıkış diyalizat örnekleri alınmıştır. Çalışmanın ikinci yarısında diyalizle ilişkili semptomların görülme sıklığında azalma saptandı, fakat bu istatistiksel olarak anlamlı değildi. Çalışma sonunda "Kombine Sodyum ve UF Modellemesi" ile hemodiyaliz sırasında müdahale sayısının azaltılabileceği ve diyaliz konforunun iyileştirilebileceği düşünülmüştür.
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  • Turkish

REFERENCES

References: 

1. Kolff WT. New ways of treating uraemia (Churchill, London, 1947)
2. Bergman H, Daugirdas JT, Fng TS, Complications during hemodialysis, Daugirdas JT, Ing TS (ed), Handbook of dialysis, 1st ed, Boston/Toronto, Little, Brown and Company, 1988, pp 106-120.
3. Salman
Ş
, Ornt DB, Mackenna B. Sodyum modellemesinin ultrafiltrasyon modellemesiyle kombine edilmesi hemodiyaliz konforunu iyileştirebilir. XII. Ulusal Böbrek Hastalıkları, Diyaliz ve
Transplantasyon Kongresi Özet Kitapçığı, Abant, 1995, pp 103.
4. Jenson BM, Dobbe SA, Squillace DP, McCarthy JT. Clinical benefits of high and variable sodium concentration dialysat in hemodialysis patients. ANNA Journal 21 (2): 115-121, 1994.
5. Henrich WL, Woodard TD, Blachley JD, et al. Role of
osmolality in blood pressure stability after dialysis and
ultrafiltration. Kidney Int 18: 480-488, 1980.
6. Kimura G, Van Stone JC. Model prediction of plasma volume changes induced by hemodialysis. J Lab Clin Med 104:932-938, 1984.
7. Luciano AP, Samir Z, Samir R. Causes, kinetics and clinical implications of post-hemodialysis urea
rebound. Kidney Int 34: 817-824, 1988.
8. Van Stone JC, Bauer J, Carey J. The effect of dialysat sodium concentration on body fluid distribution during hemodialysis. Trans Am Soc Artif Intern Organs 26:
383-386, 1980.
9. Kimura G, Van Stone JC, Bauer JH, et al. A simulation study on transcellular fluid shifts induced by
hemodialysis. Kidney Int 24: 542-548, 1983.
10. Thews O. Simulation analysis of the influence of hemodialysis control parameters on exchange processes
during therapy. Int J Artif Organs. 15 (4): 213-221, 1992.
11. Kouw PM, Olthof CG, Gruteke P, et al. Influence of high and low sodium dialysis on blood volume preservation. Nephrol Dial Transplant 6:876-880, 1991.
12. Perschel WT, Röckel A, Klinke B, et al. Variation of ultrafiltration and dialysat sodium. Improvements in dialysis therapy. Contrib Nephrol. Basel, Karger, 74: 176-181, 1989.
13. Acchiadro SR, Hayden AJ. Is Na modelling necessary in high flux dialysis? ASAIO Transactions 37: M135-
M137, 1991.
14. Dumler F, Grondin G, Levin NW. Sequential high/low sodium hemodialysis: An alternative to ultrafiltration.
Trans Am Soc Artif Intern Organs. 25:821-824, 1990.
15. Rouby JJ, Rottembourg J, Durande J-P, et al. Hemodinamics changes induced by regular
hemodialysis: A comparative study. Kidney Int 17: 801¬808, 1980.
16. De Vires PM.IM, Olthof CG, Soil'A, Schuenemann B. et al. Fluid balance during haeiiiolihralion: the effect of dialysate sodium and a variable ultrafiltration rate.
Nephrol Dial Transplant 6: 257-263, 1991.
17. Sturniolo A, Costanzi S, Barbera G, et al. Computerised monitoring of sodium and fluid during haemodialysis.
Nephrol Dial Transplant suppl. 1: 162-164, 1990.
18. Po CL, Afolabi M, Raja RM. The roll of sequential ultrafiltration and varying diyalisate sodium on vascular
stability during hemodialysis. ASAIO 39: M798-M800, 1993.
19. Peter MJ, De Vires M, Kouw PM, ct al. The influence of dialysat sodium and variable ultrafiltration on fluid balance during hemodialysis. Trans Am Soc Artif Intern
Organs 33: 821-824, 1990.
20. Stefoni S, Coli L, Zaca F, et al. Modulated Dialysis: A
new strategy for the treatment of intradialytic intolerance. Nephrol Dial Transplant suppl. 1: 154-157,
1990.
21. Daugirdas JT, Editorial review; Dialysis hypotension: A hemodynamics analysis. Kidney Int 39: 233-246, 1991
22. Perrone B. Evidence of fluid shifts during dialysis session with sodium and ultrafiltration profiles. Improvements in Dialysis Therapy. Contrib Nephrol.
Basel, Karger, 74: 191-199, 1989.
23. Kouw PM, Kooman .IP, Cheriex EC, et al. Assessment of postdialysis dry weight: A comparison of techniques. J Am Soc Nephrol. 4: 98-104, 1993.
24. Mann H, Stiller S, Schallenberg U, Thömmes A.
Optimizing dialysis by variation of ultrafiltration rate and sodium concentration controlled by continuous measurement of circulating blood volume. Improvements in Dialysis Therapy. Contrib Nephrol.
Basel, Karger, 74:182-190, 1989.
25. Bauer H, Franz HE. Influence of variation of ultrafiltration rate on cardiovascular stability during dialysis. Improvements in dialysis therapy. Contrib
Nephrol. Basel, Karger, 74: 154-158, 1989.
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