INFERMIERA MARINELLA MASET

CENTRO DIALISI – CASA DI CURA “CITTA’ DI UDINE” SpA

BIOELECTRICAL IMPEDANCE ANALYSIS (BIA)

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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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