case study
79 year old male with symptoms of Stage
IV CHF: dyspnea, ascites, basilar crackles and fatigue.
Past Medical History: History of CABG, angioplasty,
biventricular pacing, AAA repair and frequent hospitalizations for
CHF.
Admission Labs: Creatinine 2.3 mg/dl, Hct 38.6,
K 3.3
Medications: Nesiritide, Dobutamine, Lotensin,
Demadex, Renexa
Treatment:
- Venous access obtained via a mid-line catheter and angiocatheter
- Diuretics withheld during Aquapheresis treatment
- Fluid removed at a rate of 180 mL/hour
- Total of 3.6 liters were removed via Aquapheresis in 20 hours
- The patient urinated 1.6 liters during the procedure
- The procedure was well tolerated.
Results:
- Patient admitted, treated, and discharged within 24 hours.
- Upon discharge, the creatinine level had decreased 0.5 mg/dl
to 1.8 mg/dl and oral diuretics were withheld for the next 48
hours.
- Subsequently, oral diuretic doses were 50% of the pre-Aquapheresis
dose for the next 48 hours and then decreased an additional 50%.
- Seven days post treatment, patient on 25% of the pre-treatment
diuretic dose and has had no weight gain.
Case history courtesy of: Hal
Lieberman
HemoTherapeutics, Inc.
www.hemotherapeutics.com
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