Hemodialysis adequacy. Encounter for adequacy testing for hemodialysis
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: To be on hemodialysis more than 3 months Age more than 20 year and less than 75 year. Have stable clinical and laboratory condition, (Corrected Ca>8mg%, K=5.5 Hct>20%). Scheduled regular 3 times weekly hemodialysis program. Have stable vascular access. Have stable blood pressure. Have stable hemodynamic and cardiovascular condition, (for example no heart attack or cerebrovascular events in last three months). Have no acute infection or malignant tumors Have no severe anemia ( hematocrit more than 20%) Patient give informed consent to participate in this clinical trial
Exclusion criteria
Exclusion criteria: Patient has uncontrolled high or low blood pressure (systolic BP less than 90 mmHg or more than 180 mmHg at the start of hemodialysis. For any reason the patient needs for blood transfusion. For any reason the patient needs hospitalization.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Hemodialysis adequacy. Timepoint: Before starting intervention and at the end of each phase. Method of measurement: laboratory measurement of BUN before and after the dialysis and calculating URR and KT/V. | — |
Secondary
| Measure | Time frame |
|---|---|
| Hypotension during and at the end of hemodialysis. Timepoint: At the start of each hemodialysis session and then every hour and at the completion of the hemodialysis session. Method of measurement: Measurement of systolic and diastolic blood pressure by sphygmomanometer.;Itching during hemodialysis. Timepoint: During each hemodialysis session. Method of measurement: Observe and record it by the responsible nurse.;Clot formation in hemodialysis filter fibers during each hemodialysis session. Timepoint: During each hemodialysis session. Method of measurement: Observe and record it by the responsible nurse.;Shortness of breath. Timepoint: ??During each hemodialysis session. Method of measurement: Observed by the nurse in charge and measurement of blood oxygen saturation percentage by pulse oximeter. | — |
Countries
Iran (Islamic Republic of)
Contacts
Esfahan University of Medical Sciences