Effect of pre-washing without heparin on dialysis adequacy in patients with hemodialysis

VernacularTitle:无肝素预冲对血液透析患者透析充分性的影响
Author: Chunyan WU ; Wenjuan WANG ; Xiang LIU ; Huali MO ; Xinxin JIANG ; Youxin YE
Publication Type:Journal Article
Keywords: Hemodialysis; Pre-washing solution; Adequacy; Nursing
From: Chinese Journal of Practical Nursing 2011;27(16):6-8
CountryChina
Language:Chinese
Abstract: Objective To investigate the effect of pre - washing without heparin on adequacy of hemodialysis. Methods Using self-control method, fifty hemodialysis patients received pre-washing with heparin in normal saline and normal saline. Then we tested Kt/v by online clearance monitoring and observed clotting condition of dialyzer and hemodialysis tubes. Results There were no difference of Kt/v between two methods. After hemodialysis, no clotting phenomenon was found in dialyzer. There was a little pot of coagulation in artery and vein pot, but no significant difference between two methods. Conclusions Pre-washing with normal saline alone can not only ensure the adequacy of hemodialysis, but also reduce the risk of cross infection and reduce the amount of heparin, simplify operational procedures, so it should be promoted.