| Theme | Forefront of Diabetic Nephropathy | |
|---|---|---|
| Title | Methods of blood purification for CRF (chronic renal failure) patients with diabetes | |
| Publish Date | 2001/01 | |
| Author | Kunio Miura | Department of Clinical engineering, Gen-gen Doh Kimitsu Hospital |
| Author | Shinichi Oosaki | Department of Surgery, Gen-gen Doh Kimitsu Hospital |
| [ Summary ] | Recently, the number of dialysis treatment for patients with diabetes has increased. As is generally known, the CRF patient who has diabetes is inclined to have several complications. Therefore, it is necessary for CRF patients to receive more controlled, technical than that given to those patients who comes to dialysis for other reasons. At our facility, in cases of urgent introduction of dialysis treatment, we select both ECUM and HD. If the patient's condition is worse, we choose HF, CHF or CHD treatment. In cases where the patient has hypotention, there are some particular treatment methods, but mainly we change the concentration of sodium and UF amounts, gradually, during dialysis treatment, or use low-temperature dialysate. Occasionally, we combine other methods with this method. As for the prevention of hypoglycemia, we will use insulin. In the case of a patient who is likely to have an attack of hypoglysemia, we frequently use dialysate, containing 150mg/dl of glucose, or we continuously infuse glucose 3 to 5g/hr into the venous blood tubing line. Regarding the blood access for the patient, we are careful to prevent of trouble by taking care of sticking AV needles, to prevent bleeding and with positive disinfection. Though there are other problems in regard to dialysis treatment, as mentioned above, we must continue to considering countermeasurs for each individual problem. |
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