The Japanese Journal of Clinical Dialysis Vol.33 No.9(2-3)

Theme Advance and evolution of information technology in dialysis therapy
Title Monitoring dialysate solute consistency in waste fluids
Publish Date 2017/08
Author Atsushi Morizane Department of Clinical Engineering, Shinseikai Daiichi Hospital
[ Summary ] The Diamond Lisa system is used to identify urine poisoning substances present in the blood as spread by filtration. As a result, hemodialysis patients may be rid of uremic substance by removing them from the dialysate solution. It is very important to know the uremic mass in the blood up to that point, including convalescence. This information may be used to stop decline in dialysis efficiency. However, using this information may increase in the burdens on patients concerning treatment costs. Blood test checks during every dialysis treatment session are a near impossibility. But dialysis equipment by which dialysis levels may be monitored can estimate solute consistency in the dialysis waste fluid continuously by employing UV light irradiation of dialysis waste fluids. This is due to technological progress in LED systems in recent years. Examining, waste fluid solute levels, it is possible to analyze dialysis efficiency in subsequent, Kt/V in real time. We may estimate dialyzing Kt/V and apply that information to dialysis patients who keep a treatment log at home. Subsequent measurements are also effective in monitoring levels. That information corresponds to real time data used to grasp patients' progress in dialysis treatment.
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