In an emergency situation

Pages: 1 2 3

Mankind got a spare part to the organism, in case you refuse kidneys. Today, at least at the disposal of doctors no other equally effective way to help patients, who do not operate the nephrons as artificial kidney. She can lean on in acute moment when the sound of the siren Ambulance to meet part of the responsibilities of nephrons in order to save lives, to maintain it until the body mobilizes the reserves, the nephrons will heal their wounds and again take destined place on the physiological pipeline.
True craftsmanship, the virtuosity of talent begins when the viewer doesn't see the elapsed work. And in medicine, high achievements. For everyday use artificial kidney is huge preparatory work. On the one hand is purely technical, in which the thoroughness pharmacist multiplied by the dexterity of locksmith-tool maker and added to the skills sterility of the operating sisters.
With other research, analytical, because, armed with devices, reagents, the doctor must see, moreover, to foresee all the waves, the tides that is raging in the blood, tissue and interstitial fluid. This seething ocean, usually filtered and sorted in the nephrons, flows into the artificial kidney, and they need to manage. Apparatus dialysator need a program.
...We at the Department of artificial kidney. In the hall where do hemodialysis, sterile paucity of things, only the equipment, only the metal and tile. Free order can be approached from three sides are several convenient, but unusual beds. This Bed-scales: weight of the patient, fluid balance should be monitored continuously. Beside each bed, an elegant device, there are many tubes, hoses, and front - buttons, switches, scales. So composed the core of the artificial kidney. Here is focused all automatics and electronics that support normal blood flow and solution, the desired temperature and pressure. And next on the table plate of dialysator, which meet each other flow of blood and blood purifier. To the patient, to his hand (sometimes to the thigh) are drawn two thin elastic probe.
Outwardly it looks simple, calm, reminding such customary in hospital wards as a "dropper". Tension prevails in neighbouring adjacent premises is concentrated here all the preparatory work: sterilization and Assembly of equipment, the preparation of dialysis concentrate solution. Tub washing machine, weirs, Desk with weights, tiled floors make this room is similar to the chemical laboratory. It has its reserves - part of the solution and individual supplements for each patient. They measured out l ut, dissolve. The solution is updated constantly, during the session it goes 150-800 liters. Here, next door, immediately make all the necessary tests.
Work as a team, understand each other perfectly, do not lose time waiting and reminders. Hemodialysis usually lasts 6 hours. And all this time, not relaxing, without pauses are his doctors, nurses, laboratory assistants.
Blood pressure and pulse is measured every 10 minutes, repeatedly taking the electrocardiogram, studied blood: biochemical, electrolyte composition, coagulation, viscosity and other parameters. In addition, control the speed of the current in the device of the patient's blood and dialysis fluid, the lungs, the liver. All the data necessary to evaluate, compare and immediately react to help the body, to correct the program hemodialysis.
Often the effect is manifested directly in the eyes. Disappear puffiness of the face, swelling in the hands and feet, the patient regains consciousness, stop agonising nausea, vomiting, diarrhea. Food and water again become a pleasant taste. Decreases blood pressure.