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  Table of Contents  
CHAPTER 12
Year : 2020  |  Volume : 30  |  Issue : 7  |  Page : 53-54
 

Laboratory backup



Date of Web Publication15-Jul-2020

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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-4065.289816

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How to cite this article:
. Laboratory backup. Indian J Nephrol 2020;30, Suppl S1:53-4

How to cite this URL:
. Laboratory backup. Indian J Nephrol [serial online] 2020 [cited 2020 Dec 1];30, Suppl S1:53-4. Available from: https://www.indianjnephrol.org/text.asp?2020/30/7/53/289816





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Assessment of adequacy of dialysis, nutritional status, bone mineral disorders, and anemia and monitoring for infections all require frequent laboratory investigations. As various biochemical and serological parameters are dependent on the methodology used and the standardization and calibration of equipment, widespread interlaboratory variation may be observed. It is, therefore, necessary for a unit performing HD to have access to a laboratory with reliable and reproducible results and to establish protocols of investigations for patients dialyzing with them. Some of the basic protocols and requirements of the laboratory for a HD unit are laid out in the following guidelines. [Table 1] provides a list of the investigations to be routinely undertaken, while [Table 2] lists the investigations essential to screen for blood borne viral infections.
Table 1: Investigations recommended for patients on maintenance hemodialysis

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Table 2: Guidelines for testing for hepatitis B virus and hepatitis C virus in hemodialysis patients (where universal precautions are strictly followed)

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Description

Most of the HD units are located in large hospitals and the hospitals have clinical, biochemical, and microbiology facilities attached to them. Usually, imaging facilities are also available with these hospitals. A “stand-alone” HD center may not have an attached laboratory or an imaging facility.

We suggest that in either case, a laboratory with equipment for carrying out tests required for monitoring the management of patients on maintenance HD is essential.

We recommend that the following equipment required for investigations be available in the laboratory where testing is carried out:

  1. Biochemistry


    1. Semi autoanalyzer/bench top autoanalyzer
    2. Electrolyte analyzer (ion selective electrode)
    3. Semi autocoagulation analyzer


  2. Imaging facility


    1. 500 mA X-ray
    2. Ultrasound, echocardiography, and Doppler






 
 
    Tables

  [Table 1], [Table 2]



 

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Indian Journal of Nephrology
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