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ADEQUACY OF PERITONEAL DIALYSIS AND LABORATORY PROCEDURES

DRAGAN KLARIć ; Zadar General Hospital, Department of Internal Medicine and Division of Nephrology and Dialysis, Zadar, Croatia
GORANA PREDOVAN ; Zadar General Hospital, Department of Laboratory Diagnosis, Zadar, Croatia

Abstract

Peritoneal dialysis is an equally valuable method for some patients. It is a method with some advantages and thus should be considered the method of choice. Are the trends of treatment with this method instead of terminal kidney disease replacement stagnating? In our ten-year retrospective study, we tried to do assess how to control the eficiency of dialysis and what was its inluence on patient survival. We compared clinical state of patients, laboratory indicators of dialysis dosage (Kt/v) and peritoneal membrane transport function (PET). Patients were divided according to Kt/v values <1.7, 1.7-2.2 and >2.2. According to PET indings, they were divided into four standard groups. Kt/v and PET are unavoidable evaluation factors of peritoneal membrane and for prescribing dialysis. The transport, ultrailtration and other membrane characteristics change with time and with inlammatory processes. On any calculation of adequacy, it is essential to distinguish diuretic and anuric patients. The adequacy of peritoneal dialysis should be incorporated in the conclusion on prescriptions and quality treatment of each individual patient.

Keywords

adequacy of peritoneal dialysis; Kt/V; peritoneal membrane transport; laboratory

Hrčak ID:

97572

URI

https://hrcak.srce.hr/97572

Publication date:

14.2.2013.

Article data in other languages: croatian

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