Electrolyte Blood Press.  2011 Dec;9(2):63-66. 10.5049/EBP.2011.9.2.63.

Volume Control by Using the Body Composition Monitor in a Puerperal Patient on Hemodialysis

• Chung W
• Choi SH
• Sung J
• Jung ES
• Shin DS
• Jung JY
• Chang JH
• Lee HH
• Lee SH
• Kim S

• KMID: 2168386
• DOI: http://doi.org/10.5049/EBP.2011.9.2.63

Abstract

Accurate measurement of the volume status in hemodialysis patients is important as it can affect mortality. However, no studies have been conducted regarding volume management in cases where a sudden change of body fluid occurs, such as during puerperium in hemodialysis patients. This report presents a case in which the patient was monitored for her body composition and her volume status was controlled using a body composition monitor (BCM) during the puerperal period. This case suggests that using a BCM for volume management may help maintain hemodynamic stability in patients with a rapidly changing volume status for a short term period, such as during puerperium.

Keyword

body composition; hemodialysis; postpartum period; volume control

MeSH Terms

Body Composition
Body Fluids
Hemodynamics
Humans
Organothiophosphorus Compounds
Postpartum Period
Renal Dialysis
Organothiophosphorus Compounds

Figure

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  Fig. 1 Blood Pressure, Body Weight and Laboratory Changes in a 37-year-old Female Patient during Pregnancy and the Puerperal Period. Systolic blood pressure (black line) and diastolic blood pressure (gray line) at pre-hemodialysis remain stable. Body weight at pre-hemodialysis (black line) and body weight at post-hemodialysis (gray line) are gradually increased during pregnancy, and are adjusted during the puerperal period.

• 

  Fig. 2 Change in Body Composition at Pre-Hemodialysis and Post-Hemodialysis. The extracellular water and intracellular water were decreased, and fat mass fluctuated, but the fat mass tended to be increased during the postpartum period. LTI, lean tissue index; FTI, fat tissue index; ECW, extracellular water.

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