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Author Topic: What is your HEMATOCRIT?  (Read 4548 times)
Zach
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"Still crazy after all these years."
« on: November 12, 2006, 09:50:36 PM »
The target range for hematocrit is 33% to 36%, as set forth by the National Kidney Foundation.  Hematocrit is equal to the hemoglobin times three.  Newer standards are in the works.

What is your hematocrit?  Do you have a hard time keeping it stable?
« Last Edit: November 13, 2006, 07:09:10 AM by Zach » Logged
Uninterrupted in-center (self-care) hemodialysis since 1982 -- 34 YEARS on March 3, 2016 !!
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
No transplant.  Not yet, anyway.  Only decided to be listed on 11/9/06. Inactive at the moment.  ;)
I make films.

Just the facts: 70.0 kgs. (about 154 lbs.)
Treatment: Tue-Thur-Sat   5.5 hours, 2x/wk, 6 hours, 1x/wk
Dialysate flow (Qd)=600;  Blood pump speed(Qb)=315
Fresenius Optiflux-180 filter--without reuse
Fresenius 2008T dialysis machine
My KDOQI Nutrition (+/ -):  2,450 Calories, 84 grams Protein/day.

"Living a life, not an apology."
angela515
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« Reply #1 on: November 13, 2006, 08:12:16 AM »
If my hemoglobin is 11.3, that means my hemocrit is 33.9%, right?
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Live Donor Transplant From My Mom 12/14/1999
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Zach
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"Still crazy after all these years."
« Reply #2 on: November 13, 2006, 09:21:57 AM »
Quote from: angela515 on November 13, 2006, 08:12:16 AM
If my hemoglobin is 11.3, that means my hemocrit is 33.9%, right?

Yes.    :)
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Uninterrupted in-center (self-care) hemodialysis since 1982 -- 34 YEARS on March 3, 2016 !!
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
No transplant.  Not yet, anyway.  Only decided to be listed on 11/9/06. Inactive at the moment.  ;)
I make films.

Just the facts: 70.0 kgs. (about 154 lbs.)
Treatment: Tue-Thur-Sat   5.5 hours, 2x/wk, 6 hours, 1x/wk
Dialysate flow (Qd)=600;  Blood pump speed(Qb)=315
Fresenius Optiflux-180 filter--without reuse
Fresenius 2008T dialysis machine
My KDOQI Nutrition (+/ -):  2,450 Calories, 84 grams Protein/day.

"Living a life, not an apology."
BigSky
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« Reply #3 on: November 13, 2006, 09:48:31 AM »
37.8% last month

Really haven't had too many problems keeping it within patient range or a bit higher.
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jbeany
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« Reply #4 on: November 13, 2006, 05:24:16 PM »
I haven't had mine checked since my last transfusion.  (I'm due for lab work next week again.)  I'm guessing it's up at the moment.  I can actually walk up steps without stopping for air.

Your poll doesn't go low enough - mine bottomed out before my last transfusion to below 24%.
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AlasdairUK
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« Reply #5 on: November 15, 2006, 01:59:48 AM »
HCT is 41% and HB 14.2 at the moment. I have cut back my Arensep to reduce my HB.
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94 - HD Permcath for 3 months
95 - RLD Transplant 10 years
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Zach
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"Still crazy after all these years."
« Reply #6 on: November 16, 2006, 09:39:41 PM »
An interesting article on EPO:


http://www.nytimes.com/2006/11/16/business/16anemia.html
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Uninterrupted in-center (self-care) hemodialysis since 1982 -- 34 YEARS on March 3, 2016 !!
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
No transplant.  Not yet, anyway.  Only decided to be listed on 11/9/06. Inactive at the moment.  ;)
I make films.

Just the facts: 70.0 kgs. (about 154 lbs.)
Treatment: Tue-Thur-Sat   5.5 hours, 2x/wk, 6 hours, 1x/wk
Dialysate flow (Qd)=600;  Blood pump speed(Qb)=315
Fresenius Optiflux-180 filter--without reuse
Fresenius 2008T dialysis machine
My KDOQI Nutrition (+/ -):  2,450 Calories, 84 grams Protein/day.

"Living a life, not an apology."
Epoman
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« Reply #7 on: November 16, 2006, 10:18:50 PM »
My crit has been AMAZING now on NxStage, It has gotten as high as 48  :o I only get 5,000 units once a week. I used to get 9,000 units 3 times a week. Before I had my thyroid and parathyroids out I was getting 20,000+ units 3 times a week and barely getting hematocrits of 34  :o
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AlasdairUK
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« Reply #8 on: November 17, 2006, 02:46:33 AM »
I take Arenesp 30 micrograms every second week with IV iron 100mg every second week. I inject directly into my skin.
Quote from: Epoman on November 16, 2006, 10:18:50 PM
My crit has been AMAZING now on NxStage, It has gotten as high as 48 :o I only get 5,000 units once a week. I used to get 9,000 units 3 times a week. Before I had my thyroid and parathyroids out I was getting 20,000+ units 3 times a week and barely getting hematocrits of 34 :o

At what level of HCT do you run the risk of clotting?
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94 - PD for 3 months
94 - HD Permcath for 3 months
95 - RLD Transplant 10 years
2005 - HD Permcath 6 months
2006 - 2008 HDF Fistula
2008 - 2nd Transplant
Fox_nc
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« Reply #9 on: November 17, 2006, 08:01:31 AM »
I'm at 49.3% right now ... I got a gold star on my last set of labs  :yahoo;
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BigSky
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« Reply #10 on: November 17, 2006, 09:55:53 AM »
Quote from: AlasdairUK on November 17, 2006, 02:46:33 AM


At what level of HCT do you run the risk of clotting?

They say clotting can occur in veins and arteries with HCT 50 and above.

However if I remember correctly in  terms of dialysis patients who are taking Aranesp or Epo, the risk of clotting jumps up when it is given to people with HCT that is  roughly 33-36 range or a hemoglobin of 11-12 range.
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