ʻO ka pauka Hemodialysis Acid
ʻO nā mea maʻamau o ka hemodialysis pauka he: sodium, potassium, calcium, magnesium, chlorine, acetate a me bicarbonate. I kekahi manawa hiki ke hoʻohui ʻia ka glucose e like me nā pono. ʻAʻole paʻa mau ka ʻike ʻana o nā ʻāpana like ʻole, a he ʻokoʻa nō hoʻi i nā pae potassium a me ka calcium. Hiki ke hoʻoponopono ʻia e like me ke kiʻekiʻe o ka electrolyte plasma a me nā hōʻike lapaʻau o nā mea maʻi i ka wā dialysis.
Pōmaikaʻi
ʻOi aku ka maʻalahi o ka hemodialysis pauda a maʻalahi ke lawe. Hiki ke hoʻohana pū me addtional potassium/calcium/glucose e like me nā pono o nā maʻi.
Hōʻike
1172.8g/ʻeke/maʻi
2345.5g/ʻeke/2 maʻi
11728g / ʻeke / 10 mau maʻi
Manaʻo: hiki iā mākou ke hana i ka huahana me ka potassium kiʻekiʻe, ka calcium kiʻekiʻe a me ka glucose kiʻekiʻe
Ka inoa: Hemodialysis Powder A
Lakiō huikau: A:B: H2O=1:1.225:32.775
Hana: Maʻiʻo no ka Litera (mea anhydrous).
NaCl: 210.7g KCl: 5.22g CaCl2: 5.825g MgCl2: 1.666g ʻakika citric: 6.72g
ʻO ka huahana nā mea kūikawā i hoʻohana ʻia no ka hoʻomākaukau ʻana i ka haomodialysis dialysate nona ka hana e wehe i ka ʻōpala metabolic a mālama i ke koena o ka wai, electrolyte a me ka acid-base e ka dialyser.
ʻO ka wehewehe: ka pauka crystalline keʻokeʻo a i ʻole granules
Hoʻohana: ʻO ka concentrate i hana ʻia mai ka hemodialysis pauka e pili ana me ka mīkini hemodialysis kūpono no ka hemodialysis.
Hōʻike: 2345.5g / 2 kanaka / ʻeke
ʻAi: 1 ʻeke/ 2 mau maʻi
Hoʻohana: E hoʻohana i 1 ʻeke o ka pauka A, e hoʻokomo i loko o ka moku hoʻonāukiuki, e hoʻohui i 10L o ka wai dialysis, e hoʻoulu a pau loa, ʻo ia ka wai A.
E hoʻohana e like me ka dilution rate o ka dialyser me ka pauka B a me ka wai dialysis.
Nā mea e mālama ai:
ʻAʻole kēia huahana no ka injection, ʻaʻole e lawe waha a i ʻole peritoneal dialysis, e ʻoluʻolu e heluhelu i ka ʻōlelo a ke kauka ma mua o ka hoʻopaʻa ʻana.
ʻAʻole hiki ke hoʻohana wale ʻia ka pauda A a me ka pauda B, pono e hoʻoheheʻe ʻia ma mua o ka hoʻohana ʻana.
ʻAʻole hiki ke hoʻohana ʻia kēia huahana e like me ka wai hoʻoneʻe.
E heluhelu i ke alakaʻi hoʻohana o ka dialyser, e hōʻoia i ka helu kumu hoʻohālike, ka waiwai PH a me ka hoʻokumu ʻana ma mua o ka dialysis.
E nānā i ka ʻike ionic a me ka lā pau ma mua o ka hoʻohana ʻana.
Mai hoʻohana i ka wā i loaʻa ai kahi pōʻino i ka huahana, e hoʻohana koke i ka wā e wehe ʻia ai.
Pono e hoʻokō ka wai dialysis me YY0572-2005 hemodialysis a me ke kūlana wai lapaʻau kūpono.
Ka mālama ʻana: ʻAʻole pono e mālama ʻia me nā mea ʻawaʻawa, haumia a me nā mea ʻala maikaʻi.
ʻO nā endotoxins bacterial: Ua hoʻoheheʻe ʻia ka huahana i ka dialysis e ka wai hoʻāʻo endotoxin, ʻaʻole pono ka nui o nā endotoxins bacteria ma mua o 0.5EU/ml.
ʻAʻole hiki ke hoʻoheheʻe ʻia: Hoʻoheheʻe ʻia ka huahana i ka dialysate, ʻo ka ʻike ma hope o ka unuhi ʻana i ka solvent: ≥10um ʻaʻole pono e ʻoi aku ma mua o 25's/ml; ≥25um ʻaʻole pono e ʻoi aku ma mua o 3's/ml.
Ka palena o ka microbial: E like me ka hui ʻana, ʻaʻole pono ka nui o ka bacteria i loko o ka concentrate ma mua o 100CFU/ml, ʻaʻole pono ka nui o ka fungus ma mua o 10CFU/ml, ʻaʻole ʻike ʻia ka Escherichia coli.
ʻO 1 ʻāpana o ka pauka A i hoʻoheheʻe ʻia e 34 ʻāpana o ka wai dialysis, ʻo ka ʻike ionic:
| Maʻiʻo | Na+ | K+ | Ca2+ | mg2+ | Cl- |
| Hoʻopaʻa (mmol/L) | 103.0 | 2.00 | 1.50 | 0.50 | 109.5 |
ʻO ka hoʻopaʻa Ionic hope loa o ka wai dialysis i ka wā e hoʻohana ai:
| Maʻiʻo | Na+ | K+ | Ca2+ | mg2+ | Cl- | HCO3- |
| Hoʻopaʻa (mmol/L) | 138.0 | 2.00 | 1.50 | 0.50 | 109.5 | 32.0 |
Waiwai PH: 7.0-7.6
ʻO ka waiwai PH ma kēia ʻōlelo aʻo he hopena hōʻike hoʻokolohua, no ka hoʻohana lapaʻau e ʻoluʻolu e hoʻoponopono i ka waiwai PH e like me ke kaʻina hana maʻamau dialysis koko.
Ka lā pau: 12 mahina
