Domácí hemodialýza je v moderním světe běžně využívaná metoda klinické praxi. Předložená kazuistika přibližuje první zkušenosti na našem pracovišti se zaškolením a zahájením domácí hemodialýzy časové ose u konkrétního pacienta s chronickým onemocněním ledvin. Uvedená prezentuje využití hemodialýzy, kdy prostřednictvím naší případové studie kvalitati...

background: the risk of developing tuberculosis is high among chronic hemodialysis patients. the tuberculin skin test (tst) has been in use for diagnosing latent tb, but few data are available on tst in hemodialysis patients. objective: this study was done to identify the tst reactivity and frequency of booster effect in serial tst among hemodialysis patients. methods: a total of 100 patients i...

A case of severe lithium carbonate self-poisoning is described, presenting with a very high serum lithium level (14.6 mmol/L) on admission. Lengthy and repeated hemodialyses were required to lower lithemia to nontoxic ranges. As is usually reported, our patient had prolonged neurologic manifestations (coma, hyperreflexia, fluctuating focal signs) and developed hypotension, cardiovascular collap...

Improvement in technology has made it possible to deliver a high dialysis dose in a shorter period of time. Studies of the relationship between dialysis treatment duration and mortality have revealed that the risk of death increased significantly as the treatment time was reduced. The longer duration and increased frequency of dialysis achieve an excellent clearance of smalland middleweight tox...

Abstract Background and Aims Pre-hemodialysis serum sodium levels can vary among patients, therefore, a single dialysate prescription may not be appropriate for all patients. The aim of the study was to investigate whether dialysis patients will have some beneficial effects different models sodium. Method 77 nondiabetic subjects performed 12 months hemodialysis (HD) sessions with concentration ...

A red cell metabolic abnormality, which diminishes the maximum activity of the pentose phosphate shunt, occurs in some uremic patients, even those adequately dialyzed with fluids prepared from distilled or charcoal-filtered water. Within individual patients the severity of this abnormality does not change even after 9 mo of consecutive hemodialyses. However, between patients it does correlate i...

Left ventricular hypertrophy is the main risk factor for development of cardiovascular morbidity and mortality in patients on hemodialysis. Left ventricular hypertrophy is found in 75% of the patients treated with hemodialysis. Risk factors for left ventricular hypertrophy in patients on hemodialysis include: blood flow through arterial-venous fistula, anemia, hypertension, increased extracellu...

We evaluated neutrophil adhesive function in patients undergoing chronic hemodialysis using either prostacyclin or heparin as antithrombotic agents. Patients underwent successive hemodialyses with prostacyclin (4 ng/kg/min) and heparin. There were no significant differences noted in neutrophil adhesive function during either dialysis: transient neutropenia developed in each case; impaired neutr...