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hemodialysis

Completion requirements

- ONLINE CLEARANCE MONITORING

Purpose: Improving the quality of dialysis, enhancing health status, and reducing mortality rates.


K×T÷V ≥ 1.2……...1.8

 

The monitoring ratio is calculated through:

K the actual ratio of the urea clearance rate from the blood and it is measured

T the actual time for the dialysis session is entered.

V distribution volume of urea in the blood and it is measured in the laboratory.

The OCM value ranges from 1.2 to 1.8.

Influencing factors:

·       Factors that negatively affect the time rate:

·       The session time is less than required.

·       Ending the session before the time is up.

·       Repeated warnings during the session (specifically for blood and connections)

·       Factors that negatively affect the selection factor:

·       Decreased blood flow rate.

·       Presence of Fistula Recirculation

·       The concentrations of the dialysis solutions are incorrect.

·       Decrease in the dialysis flow rate.

·       The small area of the filter surface.

·       Using a low flux filter.

·       The occurrence of clots inside the filter.