Raraunga Hangarau HD Hemodialysis Miihini
Tauira: MC X0021
Ko te Miihini Hemodialysis HD he taputapu rongoa hou i hangaia mo te rongoa whakakapi renal whai hua. I hangaia me te hangarau matatau me te tino tika, ka whakaratohia e tenei miihini te maimoatanga whakamaarama i roto i nga waahi haumanu me te kaainga, me te whakarite i nga putanga pai o te manawanui me te whakamarie i te waa rongoa.
Ētahi atu Taipitopito:
Mahinga matua o tenei taputapu:
1. Mahi tirotiro whaiaro;
2. Waowao whakahiato;
3. Whakarua ngira rua;
4. Kaitohu taumata wai;
5. Pūkite mirumiru;
6. Te kaitirotiro rerenga toto;
7. Te aro turuki i te pāmahana me te hiko hiko;
8. Te pehanga o te toto, te pehanga venous me te aroturuki i te pehanga transmembrane;
9. Puma toto hurihuri;
10. Heparin papu;
11. Te nui o te matewai e whakahaeretia ana e te kaha;
12. Te kaupapa horoi whakakino mate aunoa;
13. Tu-i te mana o te papu toto i roto i te take o te kore hiko;
14. Mahi whakaatu korero o te mata whakaatu.
Tawhā:
Raraunga whānui:
Rahi :1380 x 380 x 400 mm (H x W x D);
Taumaha approx. :88 KG;
Tuku wai:
Te pehanga uru wai: 1.5-6.0 pae
Te pāmahana uru wai:5 ℃ ~32 ℃
Max. teitei wairere:1m
Whakanuia te tuku
Te pehanga tuku: 0 ki te 2 m teitei momi
Raraunga hiko
Tuku hiko:AC220V ± 10%, 47-63HZ
Te kai o naianei:max. mōrahi. 10 A
Iahiko extracorporeal
Te aro turuki i te pehanga toto
Awhe whakaatu: -380 mmHg ki +400 mmHg
Tika: ± 10 mmHg
Whakatau:1 mmHg
Te aro turuki i te pehanga
Awhe whakaatu: -180 mmHg ki +600 mmHg
Tika: ± 10 mmHg
Whakatau: 1 mmHg
Te aroturuki i te pehanga Transmembrane
Awhe whakaatu:-180 mmHg ki +600 mmHg
Tika: ± 20 mmHg
Whakatau: 1 mmHg
Puma toto toto
Awhe rere toto :30 ki te 600ml/min i roto i nga punaha toto 8 mm
Tika: ± 10%
Puma mirumiru hau
Na roto i te tuku ultrasound, te aroturuki whatu atu i roto i te rawhi venous.
Heparin papu:
Awhe tuku: 0ml / h ki te 10ml / h
Mahi Bolus max. :20 mL ia bolus
Te rahi o te syringe: 10, 20, 30, 50ml
iahiko wai whakaroto
Te awhe rere o te wai whakaheke
Ka taea te whiriwhiri: 100-800 mL/min
Te wera o te wai whakaheke
Ka taea te whiriwhiri:34.0 ℃ ki te 40.0 ℃
Ko te kawe i te wai whakaheke
Awhe: 12 ki te 16 mS/cm (25 ℃ )
Tika: ± 0.1 mS/cm
Ko te wai whakahiato waikawa waikawa
ōwehenga whakaranu taunoa:1+34 (etahi atu ka taea)
Awhe: 125 ki te 150 mmol/L
Te wē wai whakatō hauhā bicarbonate
ōwehenga whakaranu taunoa :1+27.6 (etahi atu ka taea)
Awhe :-8 ki te +8 mmol/L bicarbonate
Ultrafiltration
UF auau :0ml/h~4000ml/h
Tika: ± 1%
Whakaaetia te Waea UF: kore mutunga
Kua whakaatuhia te tawhā: UF whainga, UF wa, UF reiti, UF rōrahi
Te kaitirotiro rerenga toto
Tairongo : ≤ 0.35 mL toto/mene (HCT=32)
KT/V
Tātaitanga
Nga kaupapa whakakino mate me te horoi
Horoi
Te pāmahana / rere: 30 ki te 60 ℃ / 300 ki te 800ml / min
Horoi wera (whakahurihuri)
Te pāmahana / rere: 30 ki te 85 ℃ / 300 ki te 800ml / min
Te wera wera me te matū
Te pāmahana / rere: 30 ki te 85 ℃ / 300 ki te 800ml / min
Ka taea te kowhiri i nga huinga hotaka rereke
Raraunga Hangarau-Kwhiringa
Te Aroturuki Toto Toto (BPM) (mahi whiriwhiri)
Whakaatu awhe Systole: 40-280 mmHg
Diastole: 40-280 mmHg
Tika: 1 mmHg
Pūnaha tuku pokapū mo te waikawa conc.
Te pehanga tuku: 0 ki te 100 mbar, 1 m teitei momi me te punaha tuku Central: 0-500 mbar
Tātari Endotoxin-- Pūnaha tātari wai whakaheke toto (mahi kōwhiri)
Te tika o te whakataurite : ± 0.1% o te rere dialysate
Bicarbonate maroke
Arotahi:Kata-rua (mahi whiriwhiri)
