I love to talk about a Critline.
They are complicated, mysterious, and magical. And this is my attempt at a simplistic way to explain how a critline works.
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Crit line Pamphlet:
fmcna.com/content/dam/fmcna/l...
NOTES:
HCT: % of RBCs in your blood stream compared to TOTAL BLOOD VOLUME
TOTAL BLOOD VOLUME = RBC (~ 45%) + PLASMA (~55%) + LUEKOCYTES/PLATELETS (less than 1 % )
CRIT-LINE MEASURES % CHANGE IN HCT throughout dialysis treatment.
PROFILE A:
HCT remains the same or slight change throughout treatment.
This means the plasma refill rate is the same or faster than the Ultrafiltration rate/rate of fluid removal.
Even though these patients have more fluid to give us, this can be difficult for some. Especially those with low albumins, ascites, or active cardiac issues
PROFILE B:
Graph is gently sloping downward.
This is a good sign of efficient fluid removal and low risk of intradialytic symptoms
PROFILE C
Steep downward curve on graph. Fluid removal is too fast compared to plasma refill rate. Without intervention your patient will likely have symptoms.
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00:00 HCT review
01:45 Plasma Refill Review
03:00 Crit-Line Profile Review
5:50 Profile C
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Disclaimer: This video is intended for education purposes only and is not intended as medical advice
1 авг 2024