Fresenius Child Ok’s vs. Nextstage

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March 24, 2021 0 Comments

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Can we focus on these two machines and the professionals and cons of every – as an example ease of arrange, use, RO’s and so forth. My program provides Child Ok’s solely.
Thanks!

 
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Child Ok- professionals, are day by day therapies 3-4 hr.
Cons are many..plumbing ,elec,area wants,noisy
A sufferers home might in depth work to accomodate it.
NXstage -pros,minimal wants. one elec. outlet,one drain,one water supply.Simple to put in,straightforward to function.Additionally it’s a utterly transportable system,take it wherever that you’ve an outlet(you’ll need dialysate baggage as nicely)
Cons-Not a great match for power fluid abusers,you additionally may have extra frequent therapies.
On your lively way of life,the Nxstage ought to be your selection. Inform your supplier you need it!
Is that this Shane from Mpls?

 
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Bear in mind with NxStage you do not have the choice of adjusting dialyzers as it’s all one system. In case your affected person has a response to the dialyzer you possibly can’t change it.

 
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Is is true that NxStage makes use of previous dialysate answer – somebody informed me yesterday that the NxStage “recycles” the dialysate and the affected person dialyzes with previous dialysate. I’ve additionally heard that many individuals are getting turned off to the NxStage nowadays and goingback to the Child Ok or different Fresenius machines. In the event that they “recycle” dialysate it appears fairly gross to me. Please clarify. No I’m not a affected person; I’m a house remedy nurse from Maryland.

 
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Not true, there are two choices for dialysate:
1.Utilizing the Pureflow choice,the machine will make as much as 60L of dialysate for every tx.This could be for stationary use in a sufferers house.
2.Utilizing the ready dialysate baggage(5L every),the machine can be utilized wherever.

 
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Honey- Not true about cartridges. Nxstage does have a “particular” cartridge that can be utilized with “any” dialyzer.

 
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Child Ok’s have one other draw again over NxStage the setup and teardown time and the upkeep of the machine and RO eat a serious period of time. I would not even contemplate doing day by day therapies on a Child Ok it is simply not well worth the time. Nevertheless, I might do nocturnal on a child Ok.

The time spent on setup and tear down are break up between the night time earlier than and the following morning not all executed through the day.

 
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I’ve additionally learn that the NextStage was initially designed for CRRT and never dialysis. Thus the “filtration issue”. Additionally, I heard that NextStage water can not meet AAMI (American Affiliation of Medcial Instrumentation)requirements if you happen to use the pureflow as a result of it should use the affected person’s incoming water and does not have a carbon tank or R/O, and in addition that clearances except you do brief day by day hemodialysis aren’t that good. Does anybody have a research that references the clearances, URR% and KT/V particularly, for a NextStage affected person? It will concern me that the water high quality mixing the pureflow is not purified water, would not that concern you?

 
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RenalRN, Why are you making false statements concerning the pureflow? Have you learnt nothing about it? Every little thing you mentioned is fake, and YES it does have carbon.

 
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Okay so enlighten me. Does the water go AAMI commonplace water testing? What about an R/O -that’s reverse osmosis machine – that’s used to make dialysate? How are you aware aluminum, magnesium, flouride ranges, and so forth? The carbon tank takes out the magnesium and calcium. How about all the pieces else in metropolis/nicely water?

 
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Additionally, with the pureflow, are you able to examine micro organism in water and LALs? OOps, sorry concerning the above – I meant the carbon takes out chlorine/choramines – how do you examine for residual chlorine/chloramines? How will you guarantee, if you happen to’re not utilizing a R/O and checking bacterial ranges submit, you do not have micro organism within the water that you just dialyze with? ??? please educate me if you’ll…no I do not know a lot concerning the pureflow and that is why I am asking.

 
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I haven’t got a lot time to enter element however the pureflow makes use of principally what a power water system has, simply smaller minus RO and plus DI. It has carbons, Deionizatin tanks (which most use as a backup when RO goes down) UV mild , Ultrafilter (catches lal and micro organism. This is not all the pieces however as you possibly can see, it is going to produce water nearly as good or BETTER then a power dialysis middle. DI tanks have the potential to provide higher water then an RO.

 
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True, DI tanks have a possible for higher high quality water than an RO, nonetheless additionally they add a big price, because the tanks have to be changed and recharged, all of which begins including severe {dollars} to every therapy.

 
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I recommend you go to the corporate web site the place you possibly can learn the entire particulars,for sure,it’s FDA permitted,secure and environment friendly
http://www.nxstage.com/

 
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True, it definitely appears efficent and secure, nonetheless my unique level of added expense stands. In actual fact I might hazard a guess that is it is much more, since in impact you’re eradicating the potential of buying a decrease priced DI tank of UF filter and so forth. They will cost as a lot as they need, since they’re the one provider.

 

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