Procédure d’hémodialyse chez un patient traité par iode 131

Brunet, Philippe; Bourrelly, Marc; Mundler, O.; Bouvier, Catherine; Faure, Valérie; Opris, Adriana; Bouchouareb, D.; Indreies, Monica; Ramananarivo, P.; Dussol, Bertrand; Berland, Yvon

doi:10.1016/j.nephro.2007.11.009

Cited by 3 publications

(7 citation statements)

References 13 publications

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“…The peak value is around the second day post administration [37]. More than 70% of the radioactivity is eliminatd after the first haemodialysis session [38,42]. The effective half-life is 6.5 days [37].…”

Section: Characteristics Of Treatment Of Graves' Disease In Haemodialmentioning

confidence: 99%

“…These time limits are easy to respect. Isolation is not recommanded because the patient radiation level is less than 20 mSv/hour at one meter [42].…”

Section: Radiation Protectionmentioning

confidence: 99%

“…There are no definite recommendations for the first session [42]. However, liquid and solid wastes contaminated by radioactivity must be collected [42].…”

Section: Radiation Protectionmentioning

confidence: 99%

“…There are no definite recommendations for the first session [42]. However, liquid and solid wastes contaminated by radioactivity must be collected [42]. Thus, it seems necessary to collect dialysate and solid wastes and to stock them in a room dedicated to radiation decay because initial discharge concentration rates into the waste water system are estimated at 200 MBq m/3 hours [37,42].…”

Section: Radiation Protectionmentioning

confidence: 99%

“…The risk for dialysis staff is to be contaminated by an accidental ingestion of a biologic fluid from the patient [42]. The usual protection barriers used during the haemodialysis session are sufficient: mask, gloves, overgarments, cap [42]. There is no risk linked to external exposure to radiations.…”

Section: Radiation Protectionmentioning

confidence: 99%

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Characteristics of Graves’ Disease in Haemodialysis Patients

Boubaker¹

2012

J Endocrinol Metab

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Abnormal thyroid hormone production and metabolism are relatively common in chronic renal failure and in regular haemodialysis. Chronic kidney disease is associated with decreased thyroid hormone concentrations, especially triiodothyronine (T3), which are referred to as the euthyroid sick syndrome associated with increased severity of non-thyroidal illness and mortality in cats and dogs. Hyperthyroidism is a very unusual condition in patients undergoing regular haemodialysis. Graves' disease is rare in these patients. To our knowledge, till now only 8 well documented cases of Graves' disease have been reported in patients undergoing regular haemodialysis. The diagonsis of Graves' disease must be evoked in presence or even in the absence of specific symptoms of the disease in haemodialysis patients. Diagnosis of hyperthyroidism may be difficult because of similar signs and symptoms as in uremia and manifestions are inhabitual. Indeed, hypertension, gynaecomastia, anaemia and hypercalemia can be seen in the two pathologies. Amost all patients undergoing regular haemodialysis received iodine 131 therapy for the treatment of Graves' disease. This treatment is efficient and safe. Isolation of the patient is not recommanded. The risk for dialysis staff is to be contaminated by an accidental ingestion of a biologic fluid from the patient. The usual protection barriers used during the haemodialysis session are sufficient.

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Section: Characteristics Of Treatment Of Graves' Disease In Haemodialmentioning

confidence: 99%

“…These time limits are easy to respect. Isolation is not recommanded because the patient radiation level is less than 20 mSv/hour at one meter [42].…”

Section: Radiation Protectionmentioning

confidence: 99%

“…There are no definite recommendations for the first session [42]. However, liquid and solid wastes contaminated by radioactivity must be collected [42].…”

Section: Radiation Protectionmentioning

confidence: 99%