Evolving protocols: utilising free light chain filter treatment for multiple myeloma-associated acute kidney injury.

Autor: Henson, Angela
Předmět:
Zdroj: Renal Society of Australasia Journal; Nov2014, Vol. 10 Issue 3, p106-109, 4p, 4 Charts
Abstrakt: Acute kidney injury associated with multiple myeloma does not resolve with traditional haemodialysis, often resulting in stage five chronic kidney disease and permanent dialysis, which is an additional burden for patients with an uncertain future. The porous membrane of the high cut-off (HCO) haemodialysis filter is showing promising results in reducing levels of free light chains in serum and hence reverting acute kidney injury. This article focusses on the HCO haemodialysis treatment from a nursing perspective, outlining treatment frequency, anticoagulant and dialysate changes and the instigation of cytotoxic precautions. Experience gained with HCO filters has resulted in a protocol maximising patient safety and ensuring consistency in practice. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index