/$ %,2,03('(1=$ 81$ 0(72',&$ 87,/( 3(5 ,/ 021,725$**,2 ,'5,&2 ( 1875,=,21$/( '(/ 3$=,(17( 85(0,&2 ,1 ',$/,6, (;75$&25325($ INFERMIERA MARINELLA MASET CENTRO DIALISI – CASA DI CURA “CITTA’ DI UDINE” SpA
INFERMIERA MARINELLA MASET
CENTRO DIALISI – CASA DI CURA “CITTA’ DI UDINE” SpA
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INDICE:
INTRODUZIONE………………………………………………………………………………………………………………………..2
ABSTRACT – BACKGROUND………………………………………………………………………………………………………3
IDRATAZIONE ED EQUILIBRIO DEI FLUIDI CORPOREI……………………………………………………………….5
OBIETTIVITA’ CLINICA DEGLI STATI DI IDRATAZIONE………………………………………………………………9
BIOIMPEDENZA E ANALISI DELLA COMPOSIZIONE CORPOREA………………………………………………11
LA BIOIMPEDENZA, QUALI ERRORI NELLE STIME?.............................................................................................13
BIOIMPEDENZA, MODALITA’ DI ESECUZIONE DELL’ESAME…………………………………………………….14
SPETTROSCOPIA AD IMPEDENZA (BIS)…………………………………………………………...………………………19
ANALISI VETTORIALE DI IMPEDENZA (BIVA)………………………………………………………………………….20
APPLICAZIONI DELLA BIA NEI SOGGETTI AFFETTI DA ESRD IN TRATTAMENTO DIALITICO EXTRACORPOREO………………..…………………………………………………………………………………………………25
SPETTROSCOPIA AD IMPEDENZA CON BODY COMPOSITION MONITOR – FRESENIUS MEDICAL CARE………………………………………………………………………………………………………………………………………29
IMPEDENZA CON METODICA BIVA………………………………………………………………………………………….31
I CASO: PAZIENTE IPERTESO…………………..………………………………………………………………………………33
II CASO: PAZIENTE STABILE……………………………………………………………………………………………………35
III CASO: PAZIENTE IPERIDRATATA………………………..………………………………………………………………37
IV CASO: PAZIENTE ALLETTATO……………………………………………………………………………………………..39
CONCLUSIONI…………………………………………………………………………………………………………………………41
BIBLIOGRAFIA………………………………………………………………………………………………………………………..41
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FIGURA 7: LA DISTRIBUZIONE DEI FLUIDI TRA COMPARTIMENTI EXTRA ED INTRACELLULARE AVVIENE IN BASE A GRADIENTI OSMOTICI (7)
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