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Post by Chuck Weddle on Jul 12, 2021 14:14:21 GMT
This is actually more of a medical question but hoped with everyone's vast experience someone has run across this and a possible solution. We are currently dialyzing a patient at one of our hospital programs that is either in liver failure of has some kind of severe liver ailment. Whatever the cause, something is dialyzing out that is discoloring the dialysate and setting of the blood leak detector (tests negative for blood). I know there are medications that cause this but supposedly this patient isn't on any of the known culprits. Has anyone ran in to something like this and was a solution found? Picture of the dialysate lines. Attachments:
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Post by gnurk on Jul 12, 2021 16:46:51 GMT
ran into something like this when using a F80 dialyzer on a patient that drank some mercury turned the dialyzer green
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Josh
New Member
Posts: 10
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Post by Josh on Jul 12, 2021 18:11:21 GMT
Only time I've ever seen Yellow after returning blood was very bad liver issues.
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Post by Chuck Weddle on Jul 13, 2021 10:10:19 GMT
Only time I've ever seen Yellow after returning blood was very bad liver issues. Other than jaundice from whatever the liver issue is, I know nothing about the patients history. I don't even know if this is a chronic dialysis patient or AKI. The blood leak detector starts alarming just a few minutes after the treatment starts making doing hemodialysis impossible. I don't know if but I doubt, PD is possible with this bad of liver involvement.
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Post by SrCusEngr on Aug 8, 2021 4:25:54 GMT
Our clinical team has called me a few times about patients who set off the Blood Leak Detector because of various problems. Did anyone check the service screen to determine what the BLD values were? That machine is set to the AAMI value of 0.35 0/00 (per mille). The standard level is 0.50 0/00 [sorry, the per mille symbols were just too small for this font].
So if the machine is alarming because it is hitting the lower AAMI threshold, you could set one machine up for the higher level for that patient and try it.
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Post by Chuck Weddle on Aug 8, 2021 10:14:55 GMT
That's what your clinical team suggested and I got the ok to do it from our CMO. Unfortunately, the patient went into Hospice before it could be tried.
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