持续性肾脏替代治疗crrt英文精品课件blood volume analysis in clinical

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1、BloodVolumeAnalysisinClinicalPracticeChrisHirtDaxorCorporationAccountManagerchirt@daxor.com410-499-78401WaystoassessvolumestatusDirectMeasurement:AnalysiswithDaxorBVA-100Vitalsigns:BP,HRInput/Output,weightsJugularvenousdistensionLungsoundsCentralVenouspres

2、sureEdemapresent/absentHematocrit/HemoglobinPulmonaryArteryCatheterizationClinicalindicators(indirect):2HowdoesBVAwork?IndicatorDilutionTechnique131Ilabeledalbumin(15microcuries)1.0mldosimetricsyringeVerysmallradiationdose1.Injectknownamount/volumeoftracer3

3、.Measuretracerconcentration,calculatevolume2.Waitforequilibrium3BLOODVOLUMEANALYSIS-FINALREPORTPatientName:IdentificationNumber:096784758Height:61.5InchesWeight:126.5Pounds(Dev.fromIdeal:9.3%)Comments:V32406-86Gender:FemaleAnalyzedon:07/14/2003at17:42:54by:

4、Dr.L&JRSampleTimeHct-AHct-BAvgCount-ACount-BAvgCntUnadjVol-------------------------------------------------------------------------------Control37.537.737.6787275Standard-1120811260312342Pat-Samp-112.036.636.636.65953622060863043Pat-Samp-218.036.536.736.661

5、37592060293073Pat-Samp-324.036.636.136.36018588059493104Pat-Samp-430.036.536.436.55863572957963191Pat-Samp-536.036.236.536.45701556356323281-------------------------------------------------------------------------------RoomBackground:80counts.SampleAcquisit

6、ionTimewas3.00min.Anti-CoagulationFactor:1.00Isotope:I-131Dose:9.5microCi+++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++BloodVol.:2910mlIdealVol.:3721mlDeficit:811mlDevtn.:-21.8%RedCellVol.:956mlIdealVol.:1341mlDeficit:385mlD

7、evtn.:-28.7%PlasmaVol.:1953mlIdealVol.:2380mlDeficit:426mlDevtn.:-17.9%PatientBloodVolumeis:HYPOVOLEMICNormalizedHCTis:28.5%Slopeis:0.00314StandardDeviationis:33.7ml(1.159%)-------------------------------------------------------------------------------Norma

8、lMildModerateSevereExtremeBV,PVDeviation(+/-%):0to8>8to16>16to24>24to32>32RCVDeviation(%)0to10>10to20>20to30>30to40>40ReportExample-HypovolemiaBVANormalandAbnormalRangesPatientResultsBenchWorkperformed