haemodialysis in children.ppt
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Almtgmts
Kmtrlhuatklm
Kmhkantklms lchkniysks
Aflkag lc hkniysks
Zghkntrkafg`lhkniysks
Snsauinr naagss Gxtrnalrplrgni
akraukt
Hkniysntg
Hkniysks
`nafkmgNmtkalneuintklm
Al`pikantklm
Almaiusklms _gcgrgmags
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Ufy n kmcnmt mgghs hkniysks
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Hgvgilp`gmt lc dkhmgy Xfg mgw olrm dkhmgy ks k``nturg nmh almtnkms
lmiy >5' lc agiis clumh km nm nhuit dkhmgy
Xfg rg`nkmhgr lc tfg agiis hgvgilp oy skx`lmtfs lc neg
Xfg eil`gruinr ckitrntklm rntg &EC_+ nt okrtfnvgrnegs lmiy nolut ?:`i,`km,>51`?
Kt kmargnsgs tl 6:`i,`km,>51`?)oy skx `lmtfs
Nt neg nmh rgnafgs tfg mlr`ni nhuit rntg km tfg
?mh ygnr lc ikcg
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Nautg hkniysks kmhkantklms
Likeurkn&:3`i,de,fr+
Fypl pgrcusklm
Eil`gruilrmgpfrktks Mgpfrltlxka plkslms
Wrg`ka pgrkanrhktks
Fypgrdnig`kn
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Afrlmka rgmni cnkiurg
Eil`gruinr hksgnsg 0 18'
@niclr`ntklm lc urkmnry trnad 0 ??'
Fgrghktnry &trnms`kttgh crl` pnrgmts+ 0 >3'
Hyspinskn&nomlr`ni hgvgilp`gmt lc rgmni tkssug +>>'
Wmagrtnkm 0 7'
Ltfgrs 0 >?'
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Aflkag lc hkniysks
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ZG_KXLMGNI HKNI[QKQ
pgrktlmgni hkniysks ks tfg ckrst trgnt`gmtlcaflkag km kmcnmts
Oganusg kts fnvg `nmy nhvnmtnegs tfnm
ltfgrs Ml mggh clr vnsauinr naagss) oillh
prk`kme) nmtkalneuintklm) gxt
Mglmntni fns n pgrktlmgni surcnag nrgnni`lst twkag tfnt lc tfg nhuit wfgm pgrktlmgni hkniysks sfluih og twkag ns
gcckakgmt km tfg mglmntni%
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almtkmulus rgmni rgpinag`gmttfgrnpy
A__X ks usgh ni`lst
gxaiuskvgiy km tfg
kmtgmskvg anrgsgttkme
lmiy
Ql kts mlt almvgmkgmt clr
afrlmka LZ pntkgmts
Km Nautg Zntkgmts kt `ny
og ld
http://en.wikipedia.org/wiki/Intensive_carehttp://en.wikipedia.org/wiki/Intensive_care -
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Fng`lhkniysks
Fg`lhkniysks kspgrclr`gh wfgmpgrktlmgni hkniysks ks
almtrnkmhkantghoganusg lc nm kmtrn-nohl`kmni prlagss&kmaiuhkme rgagmtnohl`kmni suregry)
hknpfrne`ntka fgrmkn)lr rgspkrntlry ik`ktntklm+
NENKMQX
Xgafmkaniiy hkcckauit kmtfg vgry s`nii
Mggh clr nmtkalneuintklm
Mlt n almtkmulus`lhnikty ciukhs nmhmutrktklm mggh tl og
rgstrkatgh Mlt suktnoig clr
fng`lhymn`kaniiumstnoig
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Snsauinr naagss
Snsauinr naagss rg`nkms n `nblr
ik`ktntklm tl suaagsscui fg`lhkniysks km
s`nii afkihrgm Zinakme nmh `nkmtnkmkme
pgr`nmgmt naagssgs km s`nii vgssgis
rgqukrgs gxpgrkgmagh nmh hghkantgh
sureglms nmh rnhklileksts Snsauinr
antfgtgrs anm og pinagh oy kmtgrvgmtklmnirnhklileksts lr sureglms hgpgmhkme lm
tfg ogst gxpgrkgmag nvnkinoig km nm
kmstktutklm
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Antfgtgrs
Nvnkinoig hluoig-iu`gm fg`lhkniysks
antfgtgrs rnmeg crl` 1 C tl >? C km igmetfs
npprlprkntg clr s`nii afkihrgm tg`plrnry nmh
pgr`nmgmt antfgtgrs nrg nvnkinoig) nmh Xfgantfgtgr tkp sfluih og rnhklilekaniiy
plsktklmgh km tfg bumatklm lc tfg supgrklr
vgmn anvn nmh rkeft ntrku`
Km s`nii kmcnmts nmh mglmntgs) skmeig-iu`gm
antfgtgrs `ny og `lrg npprlprkntg
almskhgrkme vgssgi skzg
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Flw tl hgakhg antfgtgr skzg
Zntkgmt skzg
&de+
Antfgtgr skzg
9 >: 1 XL 6 Cr huni iu`gm
>:-?: 6 Cr huni iu`gm
?:-8: >: Cr huni iu`gm= 8: >>7 lr >?7 Cr huni
iu`gm
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Ckstuins nmh erncts
Km lihgr afkihrgm) argntklm lc nm nrtgrklvgmlus ckstuin ogtwggmtfg rnhkni nrtgry nmh agpfnika vgkm km tfg gmh-tl-skhgnmnstl`lsks ks n al``lm lhg lc vnsauinr naagss
Ufgm oillh vgssgi skzg ks tll s`nii clr almstruatkme nmnhgquntg ckstuin) n pliytgtrnciulrlgtfyigmg &ElrgXgx lr K`prn+ernct anm og pinagh ogtwggm nm gxtrg`kty nrtgry nmh vgkm
Anmmuintklm ks vgry hkcckauit oganusg lc vgrys`nii vgkm sl wg mggh pntkgmts allpgrntklm
Xl nvlkh pnkm usg Nmgstfgtka sprny nvlkhs`nii mgghikme nisl)))))
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Oillh cilw nmh hkniysntg cilw
Hgskrgh oillh cilw rntg ks tnregtgh tl urgn
aignrnmag spgakckantklms clr n aflsgm
hkniyzgr nm kmktkni urgn aignrnmag lc1 `I
pgr kmutg pgr de ks pruhgmt tl nvlkh
sy`ptl`ntka hksgqukikorku`
Xypkaniiy km tfg rnmeg lc 7:`i tl >7: `I pgr
`kmutg km s`nii afkihrgm nmh ?::`i tl 17:
`I pgr `kmutg km lihgr afkihrgm Q`nii
antfgtgrs lctgm ik`kt cilw tl ?7`i tl >:: `Ipgr `kmutg oganusg lc ik`ktgh nrtgrkni kmcilw
Hkniysntg cilw tl og dgpt nt 8::-7:: `i,`km
Hlgs mlt hgpgmh lm skzg lc afkih
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Gxtrn alrplrni akraukt
N egmgrniiy naagptgh ruig clr kmcnmt
hkniysks ks tfnt tfg gxtrn alrplrni oillh
vliu`g sfluih mlt gxaggh >:' lc tltni
oillh vliu`g
Xfks ks aniauintgh uskme tfks clr`uin
&oillh vliu`g06:`i,de+
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Clr gxn`pig
?:de afkih " 6:`i 0>3::`i
>:'lc >3:: 0 >3:`i
Xfgrgclrg >3:`i ks tfg tltni oillhvliu`g tfnt sfluih og km tfg Gxtrnalrplrni akraukt hurkme fg`lhkniysks
Kc tfg vliu`g ks gxagghgh hkniyzgr #oillhikmg prk`gh wktf oillh lrniou`km sliutklm
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Zinmmkme WC
Elni tl prl`ltg ciukh rg`lvni wfkig
`nkmtnkmkme fg`lhymn`ka stnokikty
tfrlueflut trgnt`gmtNosliutgiy gssgmtkni gstk`ntg lc hry
wgkeft $ naaurntg `gnsurg`gmt lc
aurrgmt wgkeft WC rg`lvni km n skmeig sgssklm sfluih
mlt gxaggh 7' lc olhy wgkeft lr :?
`i,de,`km tl nvlkh akrauintlry aliinpsg
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Hkniyzgr
Hkniyzgr afnrnatgrkstkas
- surcnag nrgn sfluih mlt gxaggh afkihs
OQN
- s`nii prk`kme vliu`g
- urgn aignrnmag 1-7 `i,de,`km
- symtfgtka lvgr agiiuilsg onsgh`g`ornmgs
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Nvnkinoig Hkniyzgrs
Hkniyzgr Zrk`kme
vliu`g&
`i+
Qurcnag
nrgn &`?+
`g`ornmg `nmucnatu
rg
>::FE >6 :? Fg`lpfnm En`orl
Qurgciux-1:i
&7:i+&5:i+
?7&17+&87
+
:1&:7+&:5+Xrknagtntg Mkprl
CO-
7:X&5:X+&;:X+
17&87+&77
+
:7&:5+&:;+ Hknagtntg Mkprl
C1C8C8: ?6&8?+&8?
+
:8&:5+&:5+ pliysliclmg Crgsgmkus
AN7:&5:+ 17&87+ :7&:5+ Agiiuilsg
nagtntg
Onxtgr
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Aignrnmag Hgpgmhs lm
- Oillh cilw
- Hkniysntg cilw- Hkniyzgr surcnag nrgn
- Hkniyzgr pgr`gnokikty
Nk` clr urgn aignrnmag lc >`i,de,`km kmkmktkni hkniysks sgssklms nmh ernhuniiy
kmargnsg uptl 8 `i,de,`km
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Oillh Xuokme
Npprlprkntgiy skzgh oillh ikmgs niilw almtrlilc akraukt vliu`g Kc tfg vliu`g lc tfg gmtkrggxtrnalrplrgni akraukt gxagghs >:' lc tfg
pntkgmt%s oillh vliu`g &=6 `I,de+) nwnr`gh oillh &lr niou`km+ prk`g ks usuniiyekvgm tl gmsurg fg`lhymn`ka stnokikty
Oillh ikmgs nrg nvnkinoig km n rnmeg lcskzgs2 Mglmntni &~?: `I+) kmcnmt &~8: `I+)
nmh pghkntrka &~5: `I+ Kt ks k`plrtnmt tfnttfg oillh pu`p og prlpgriy anikorntgh clrtfg aflsgm oillh ikmgs
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Nvnkinoig tuokme
Mn`g lc tfg
oillh ikmgs
Nrtgry
vliu`g&`i+
Sgmus
vliu`
g &`i+
Xltni-
vliu`g&`i+
`nmucnatur
gr
N-135n1
S-8>8nx
>? ?> 11 En`orl
Q-71:66
S-1:6;
?6 ?? 7: anrhklvksklm
Os`?
N13p-pv5
157 1:7 36 flspni
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Hkniysntg
Okanrolmntg hkniysks sliutklm ks stnmhnrh
clr pghkntrka fg`lhkniysks4 kt prlvkhgs
ogttgr fg`lhymn`ka stnokikty nmh cgwgr
kmtrnhkniytka sy`ptl`s Zntkgmts wktf
s`nii `usaig `nss wkii og umnoig tl
`gtnolikzg n inreg nagtntg ilnh qukadiy
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Hkniysks `nafkmgs
Hkniysks `nafkmgs tfnt prlvkhg vliu`gtrka
uitrnckitrntklm almtrli nrg rgqukrgh Q`nii
grrlrs km uitrnckitrntklm vliu`g &lc n cgw
fumhrgh `kiikiktgrs+ `ny anusg sy`ptl`ntkafypltgmsklm lr afrlmka vliu`g lvgrilnh
Oillh cilws `ust og naaurntg wktfkm tfg
rnmeg lc 1: tl 1:: `I pgr `kmutg nmh tfg
oillh pu`p anikorntgh tl hkccgrgmt skzg ikmgs
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NmtkalneuintklmQtnmhnrh fgpnrkmksntklm
Zntkgmts wgkeft&de+
Kmktkni olius &Wmkts lcfgpnrkm,de+
7->7 >:->3
>7-?7 >3-?:
?7-17 >6-?:
17-77 >6-?:= 77 ?:
Kmcusklm hurkme hkniysks 0 >7-?: Wmkts,de,fr
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Clr nii wgkefts al``lmiy
wg nrg uskme stnmhnrh fgpnrkm hlsgs
clr pghkntrka pntkgmts tfnt ks
Qystg`ka 0 57:ku olius 7::ku,fr`nkmtgmnmag
_kekh0 7::ku olius ?7:ku,fr
`nkmtgmnmag
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Fgpnrkm crgg hkniysks
Nvlkhkme ailttkme lc tfg akraukt 4 ciusf
wktf mlr`ni snikmg gvgry 1: `kmutgs
- Ugkeft 9 ?: de ?7 `i lc mlr`ni snikmg
- Ugkeft = ?: de 7: `i lc mlr`ni snikmg
Nhh tfks vliu`g tl mgt uitrnckitrntklm
tnregt
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Oillh sn`pikme Xfg silw-cilw tgafmkqug clr oillh sn`pikme ks
k`plrtnmt clr naaurntg `gnsurg`gmt
Zghkntrka oillh ikmgs anm og nhgquntgiy
aignrgh oy n silw-cilw rntg &3: `I pgr`kmutg+ clr >5 sgalmhs4
wg prghkat kmcnmt ikmgs wkii rgqukrg >?
sgalmhs nt n silw-cilw rntg lc ?: `I pgr`kmutg Xfg ergntgr rgiknmag lm antfgtgrs km
pghkntrka hkniysks rnksgs almagrm tfnt
rgakrauintklm wkii hk`kmksf trgnt`gmt gcckakgmay
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al`pikantklm Lurs`nii `kstndgs wkii ekvg n oke
al`pikantklm clr kmcnmts
Nii nhuit al`pikantklms &ikdg nkr g`oliks` #
`nafkmg grrlrs+ nrg sn`g out ltfgr
k`plrtnmt al`pikantklms mggh hksaussklm
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Hksgqukikorku` symhrl`g
Qn`g ikdg nhuits out
fgnr fnppgm `lrg
Q`nii ornkm tkssugs
urgn trnmscgrs `lrgsilwiy tl tfg oillh sl
ciukh ks hrnwm km tl tfg
ornkm gnskiy kt anusgs
swgiikme Ql urgn aignrnmag
sfluih og 1`i,`km
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Fypltgmsklm
Kmtrnhkniytka fypltgmsklm nmh arn`pkme wktfciukh rg`lvni =7' lc olhy wgkeft nrg
al``lm
Sliu`g rg`lvni `ust og ailsgiy `lmktlrgh
oganusg oillh prgssurg ks mlr`niiy ilwgr km
afkihrgm tfnm km nhuits
Wsg sgpnrntg pghkntrka OZ nppnrntus clrkmcnmts clr naaurntg `gnsurg`gmt lc OZ
oillh &lr niou`km+ prk`g ks usuniiy ekvgm tl
gmsurg fg`lhymn`ka stnokikty
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Qupplrt tfgrnpkgs
Ekvg Grytfrlplkgtkm Xfgrnpy clr Nmg`kn
Ekvg _gal`okmnmt Fu`nm Erlwtf
Flr`lmg &rfEF+ Xfgrnpy clr erlwtf
Sktn`km H Xfgrnpy clr _gmni
Lstglhystrlpntfy
Ziny Xfgrnpy clr r_gfnokiktntklm
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_gcgrgmag
Fnmh olld lc hkniysks - Blfm X Hnuekrhns
@H -?::5 4 3:3-3?7
_gmni Murskme_logrt Wihnii @H C_AZ>;664 1?:-1?5
Afkihrgm wktf dkhmgy hksgnsgs Qg`km mgpfrli
-?::34371-376
wgo rgcgrgmag2 wwwfhamal`
wwwdkhmgylre
wwwparrtal`
http://www.hdcn.com/http://www.kidney.org/http://www.pcrrt.com/http://www.pcrrt.com/http://www.kidney.org/http://www.hdcn.com/ -
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