持续性肾脏替代治疗CRRT英文精品课件Blood Volume Analysis in Clinical .ppt

Blood Volume Analysisin Clinical Practice Chris Hirt Daxor Corporation Account Manager chirt@ 410-499-7840 Ways to assess volume status How does BVA work? Indicator Dilution Technique 131I labeled albumin (15 microcuries) 1.0 ml dosimetric syringe Very small radiation dose Report Example - Hypovolemia BLOOD VOLUME ANALYSIS - FINAL REPORT Patient Name: Identification Number: 096784758 Height: 61.5 Inches Weight: 126.5 Pounds (Dev. from Ideal: 9.3%) Comments: V32406-86 Gender: Female Analyzed on: 07/14/2003 at 17:42:54 by: Dr.L JR Sample Time Hct-A Hct-B Avg Count-A Count-B AvgCnt UnadjVol ------------------------------------------------------------------------------- Control 37.5 37.7 37.6 78 72 75 Standard-1 12081 12603 12342 Pat-Samp-1 12.0 36.6 36.6 36.6 5953 6220 6086 3043 Pat-Samp-2 18.0 36.5 36.7 36.6 6137 5920 6029 3073 Pat-Samp-3 24.0 36.6 36.1 36.3 6018 5880 5949 3104 Pat-Samp-4 30.0 36.5 36.4 36.5 5863 5729 5796 3191 Pat-Samp-5 36.0 36.2 36.5 36.4 5701 5563 5632 3281 ------------------------------------------------------------------------------- Room Background: 80 counts. Sample Acquisition Time was 3.00 min. Anti-Coagulation Factor: 1.00 Isotope: I-131 Dose: 9.5 microCi +++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ Blood Vol.: 2910 ml Ideal Vol.: 3721 ml Deficit: 811 ml Devtn.: -21.8 % Red Cell Vol.: 956 ml Ideal Vol.: 1341 ml Deficit: 385 ml Devtn.: -28.7 % Plasma Vol.: 1953 ml Ideal Vol.: 2380 ml Deficit: 426 ml Devtn.: -17.9 % Patient Blood Volume is: HYPOVOLEMIC Normalized HCT is: 28.5% Slope is: 0.00314 Standard Deviation is: 33.7 ml ( 1.159% ) ------------------------------------------------------------------------------- Normal Mild Moderate Severe Extrem