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<p class="MsoNormal"><font size="2" color="navy" face="Arial"><span style="font-size:
10.0pt;font-family:Arial;color:navy">Bonjour<o:p></o:p></span></font></p>
<p class="MsoNormal"><font size="2" color="navy" face="Arial"><span style="font-size:
10.0pt;font-family:Arial;color:navy"><o:p> </o:p></span></font></p>
<p class="MsoNormal"><font size="2" color="navy" face="Arial"><span style="font-size:
10.0pt;font-family:Arial;color:navy">Pour la Vanco plutôt 1g/30mn après la séance de dialyse(reco. d’ICAR)<o:p></o:p></span></font></p>
<p class="MsoNormal"><font size="2" color="navy" face="Arial"><span style="font-size:
10.0pt;font-family:Arial;color:navy"><o:p> </o:p></span></font></p>
<p class="MsoNormal"><font size="2" color="navy" face="Arial"><span style="font-size:
10.0pt;font-family:Arial;color:navy">Pour l’heparine 25u/kg en dose de charge (bolus) puis 15 u/kg en entretien avec arret 30mn avant la fin de la séance
<o:p></o:p></span></font></p>
<p class="MsoNormal"><font size="2" color="navy" face="Arial"><span style="font-size:
10.0pt;font-family:Arial;color:navy"><o:p> </o:p></span></font></p>
<p class="MsoNormal"><font size="2" color="navy" face="Arial"><span style="font-size:
10.0pt;font-family:Arial;color:navy">Cordialement
<o:p></o:p></span></font></p>
<p class="MsoNormal"><font size="2" color="navy" face="Arial"><span style="font-size:
10.0pt;font-family:Arial;color:navy">Amar Amaouche<o:p></o:p></span></font></p>
<p class="MsoNormal"><font size="2" color="navy" face="Arial"><span style="font-size:
10.0pt;font-family:Arial;color:navy">Saint pierre<o:p></o:p></span></font></p>
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10.0pt;font-family:Arial;color:navy"><o:p> </o:p></span></font></p>
<div>
<p><font size="2" color="navy" face="Arial"><span style="font-size:10.0pt;font-family:
Arial;color:navy">_______________________________</span></font><font color="navy"><span style="color:navy">
<br>
</span></font><font size="2" color="navy" face="Arial"><span style="font-size:10.0pt;
font-family:Arial;color:navy">Dr Amar AMAOUCHE</span></font><font color="navy"><span style="color:navy">
<br>
</span></font><font size="2" color="navy" face="Arial"><span style="font-size:10.0pt;
font-family:Arial;color:navy">AURAR PNS 1</span></font><font color="navy"><span style="color:navy">
<br>
</span></font><font size="2" color="navy" face="Arial"><span style="font-size:10.0pt;
font-family:Arial;color:navy">15 rue des Roches</span></font><font color="navy"><span style="color:navy">
<br>
</span></font><font size="2" color="navy" face="Arial"><span style="font-size:10.0pt;
font-family:Arial;color:navy">97410 SAINT PIERRE</span></font><font color="navy"><span style="color:navy">
<br>
</span></font><font size="2" color="navy" face="Arial"><span style="font-size:10.0pt;
font-family:Arial;color:navy">Tél. 0262 54 99 40</span></font><font color="navy"><span style="color:navy">
<br>
</span></font><font size="2" color="navy" face="Arial"><span style="font-size:10.0pt;
font-family:Arial;color:navy">Fax 0262 54 99 38</span></font><font color="navy"><span style="color:navy">
<br>
</span></font><font size="2" color="navy" face="Arial"><span style="font-size:10.0pt;
font-family:Arial;color:navy">Portable : 0692 23 84 91</span></font><font color="navy"><span style="color:navy">
</span></font><o:p></o:p></p>
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<p class="MsoNormal"><b><font size="2" face="Tahoma"><span style="font-size:10.0pt;
font-family:Tahoma;font-weight:bold">De :</span></font></b><font size="2" face="Tahoma"><span style="font-size:10.0pt;font-family:Tahoma"> Renaliste [mailto:renaliste-bounces@nephrodial.org]
<b><span style="font-weight:bold">De la part de</span></b> seigneuric.b@chu-toulouse.fr<br>
<b><span style="font-weight:bold">Envoyé :</span></b> mardi <st1:date Year="2016" Day="2" Month="2" ls="trans" w:st="on">
2 février 2016</st1:date> 15:46<br>
<b><span style="font-weight:bold">À :</span></b> coulibaly1981@yahoo.fr; renaliste@nephrodial.org<br>
<b><span style="font-weight:bold">Objet :</span></b> Re: [Renaliste] Administration de la Vancomycine en hémodialyse et protocole d'anticoagulation chez le patient hémodialysé</span></font><o:p></o:p></p>
</div>
<p class="MsoNormal"><font size="3" face="Times New Roman"><span style="font-size:
12.0pt"><o:p> </o:p></span></font></p>
<p class="MsoNormal"><font size="2" color="#1f497d" face="Calibri"><span style="font-size:11.0pt;font-family:Calibri;color:#1F497D">Bonjour,<o:p></o:p></span></font></p>
<p class="MsoNormal"><font size="2" color="#1f497d" face="Calibri"><span style="font-size:11.0pt;font-family:Calibri;color:#1F497D"><o:p> </o:p></span></font></p>
<p class="MsoNormal"><font size="2" color="#1f497d" face="Calibri"><span style="font-size:11.0pt;font-family:Calibri;color:#1F497D">Concernant la vancomycine nous l’administrons à 1 g/H ; si la dose à administrer est supérieure à
<st1:metricconverter ProductID="1 g" w:st="on">1 g</st1:metricconverter> on prolonge sur
<st1:time Minute="30" Hour="1" w:st="on">1H30</st1:time> voire <st1:time Hour="2" w:st="on">
2H</st1:time> en deuxième partie de séance.<o:p></o:p></span></font></p>
<p class="MsoNormal"><font size="2" color="#1f497d" face="Calibri"><span style="font-size:11.0pt;font-family:Calibri;color:#1F497D">Concernant l’HNF nous commençons par :<o:p></o:p></span></font></p>
<p class="MsoNormal"><font size="2" color="#1f497d" face="Calibri"><span style="font-size:11.0pt;font-family:Calibri;color:#1F497D">- une dose de charge au branchement : ½ mg/Kg avec 10 mg = 1000U soit 3000 U pour un sujet de 60Kg, puis
<o:p></o:p></span></font></p>
<p class="MsoNormal"><font size="2" color="#1f497d" face="Calibri"><span style="font-size:11.0pt;font-family:Calibri;color:#1F497D">- une dose d’entretien de 333 à 666 U/ H d’héparine sur
<st1:time Minute="30" Hour="3" w:st="on">3H30</st1:time> lors d’une dialyse de <st1:time Hour="4" w:st="on">
4H</st1:time> sur FAV et sur toute la séance pour un cathéter. On ne dépasse pas 999U/H.<o:p></o:p></span></font></p>
<p class="MsoNormal"><font size="2" color="#1f497d" face="Calibri"><span style="font-size:11.0pt;font-family:Calibri;color:#1F497D">On adapte secondairement les doses en fonction de l’état du rein et du patient.<o:p></o:p></span></font></p>
<p class="MsoNormal"><font size="2" color="#1f497d" face="Calibri"><span style="font-size:11.0pt;font-family:Calibri;color:#1F497D">Avec les bains au citrate la dose d’héparine a pu être baissée.<o:p></o:p></span></font></p>
<p class="MsoNormal"><font size="2" color="#1f497d" face="Calibri"><span style="font-size:11.0pt;font-family:Calibri;color:#1F497D"><o:p> </o:p></span></font></p>
<p class="MsoNormal"><font size="2" color="#1f497d" face="Calibri"><span style="font-size:11.0pt;font-family:Calibri;color:#1F497D">Cordialement<o:p></o:p></span></font></p>
<p class="MsoNormal"><font size="2" color="#1f497d" face="Calibri"><span style="font-size:11.0pt;font-family:Calibri;color:#1F497D"><o:p> </o:p></span></font></p>
<p class="MsoNormal"><font size="2" color="#1f497d" face="Calibri"><span style="font-size:11.0pt;font-family:Calibri;color:#1F497D"><o:p> </o:p></span></font></p>
<p class="MsoNormal"><font size="2" color="#1f497d" face="Times New Roman"><span style="font-size:10.0pt;color:#1F497D">Dr B. Seigneuric<o:p></o:p></span></font></p>
<p class="MsoNormal"><font size="2" color="#1f497d" face="Times New Roman"><span style="font-size:10.0pt;color:#1F497D">Praticien Hospitalier<o:p></o:p></span></font></p>
<p class="MsoNormal"><font size="2" color="#1f497d" face="Times New Roman"><span style="font-size:10.0pt;color:#1F497D">Département de Néphrologie, Dialyse et Transplantation d’Organes - Unité de Dialyse Périodique<o:p></o:p></span></font></p>
<p class="MsoNormal"><font size="2" color="#1f497d" face="Times New Roman"><span style="font-size:10.0pt;color:#1F497D">CHU Rangueil – Larrey<o:p></o:p></span></font></p>
<p class="MsoNormal"><font size="2" color="#1f497d" face="Times New Roman"><span style="font-size:10.0pt;color:#1F497D">31059 Toulouse Cedex 9<o:p></o:p></span></font></p>
<p class="MsoNormal"><font size="2" color="#1f497d" face="Times New Roman"><span style="font-size:10.0pt;color:#1F497D">Tel 05 67 77 18 90<o:p></o:p></span></font></p>
<p class="MsoNormal"><font size="2" color="#1f497d" face="Times New Roman"><span style="font-size:10.0pt;color:#1F497D">Fax 05 67 77 18 88<o:p></o:p></span></font></p>
<p class="MsoNormal"><font size="2" color="#1f497d" face="Calibri"><span style="font-size:11.0pt;font-family:Calibri;color:#1F497D"><o:p> </o:p></span></font></p>
<p class="MsoNormal"><font size="2" color="#1f497d" face="Calibri"><span style="font-size:11.0pt;font-family:Calibri;color:#1F497D"><o:p> </o:p></span></font></p>
<p class="MsoNormal"><font size="2" color="#1f497d" face="Calibri"><span style="font-size:11.0pt;font-family:Calibri;color:#1F497D"><o:p> </o:p></span></font></p>
<p class="MsoNormal"><font size="2" color="#1f497d" face="Calibri"><span style="font-size:11.0pt;font-family:Calibri;color:#1F497D"><o:p> </o:p></span></font></p>
<div>
<div style="border:none;border-top:solid #E1E1E1 1.0pt;padding:3.0pt 0cm 0cm 0cm">
<p class="MsoNormal"><b><font size="2" face="Calibri"><span style="font-size:11.0pt;
font-family:Calibri;font-weight:bold">De :</span></font></b><font size="2" face="Calibri"><span style="font-size:11.0pt;font-family:Calibri"> Renaliste [mailto:renaliste-bounces@nephrodial.org]
<b><span style="font-weight:bold">De la part de</span></b> moussa coulibaly<br>
<b><span style="font-weight:bold">Envoyé :</span></b> mardi <st1:date Year="2016" Day="2" Month="2" ls="trans" w:st="on">
2 février 2016</st1:date> 11:16<br>
<b><span style="font-weight:bold">À :</span></b> Liste des néphrologues francophones<br>
<b><span style="font-weight:bold">Objet :</span></b> [Renaliste] Administration de la Vancomycine en hémodialyse et protocole d'anticoagulation chez le patient hémodialysé<o:p></o:p></span></font></p>
</div>
</div>
<p class="MsoNormal"><font size="3" face="Times New Roman"><span style="font-size:
12.0pt"><o:p> </o:p></span></font></p>
<div>
<div id="yui_3_16_0_1_1454407169002_5400">
<p class="MsoNormal" style="background:white"><font size="1" color="black" face="Helvetica"><span style="font-size:9.0pt;font-family:Helvetica;color:black">Bonjour,<o:p></o:p></span></font></p>
</div>
<div id="yui_3_16_0_1_1454407169002_5402">
<p class="MsoNormal" style="background:white"><font size="1" color="black" face="Helvetica"><span style="font-size:9.0pt;font-family:Helvetica;color:black"><o:p> </o:p></span></font></p>
</div>
<div id="yui_3_16_0_1_1454407169002_5380">
<p class="MsoNormal" style="background:white"><font size="1" color="black" face="Helvetica"><span style="font-size:9.0pt;font-family:Helvetica;color:black">J'ai deux questions concernant l'administration de la vancomycine chez le patient hémodialysé et l'héparine
en continue chez les patients hémodialysés <o:p></o:p></span></font></p>
</div>
<div id="yui_3_16_0_1_1454407169002_5379">
<p class="MsoNormal" style="background:white"><font size="1" color="black" face="Helvetica"><span style="font-size:9.0pt;font-family:Helvetica;color:black">qui ont un risque hémorragique et de coagulation du circuit.
<o:p></o:p></span></font></p>
</div>
<div id="yui_3_16_0_1_1454407169002_5417">
<p class="MsoNormal" style="background:white"><font size="1" color="black" face="Helvetica"><span style="font-size:9.0pt;font-family:Helvetica;color:black">J'ai eu toujours l'habitude d'administrer la Vancomycine sur la dernière heure de dialyse. Avez vous
d'autres habitudes?<o:p></o:p></span></font></p>
</div>
<div id="yui_3_16_0_1_1454407169002_5378">
<p class="MsoNormal" style="background:white"><font size="1" color="black" face="Helvetica"><span style="font-size:9.0pt;font-family:Helvetica;color:black">Concernant l'héparine, j'applique le protocole suivant : 25 UI/kg/h la première heure de dialyse puis
12.5 UI/kg/h la 2ème et 3ème heure de dialyse puis j'arrête la dernière heure de dialyse. Avez vous d'autres façons de faire en dehors de l'utilisation des membranes héparinées.<o:p></o:p></span></font></p>
</div>
<div id="yui_3_16_0_1_1454407169002_5416">
<p class="MsoNormal" style="background:white"><font size="1" color="black" face="Helvetica"><span style="font-size:9.0pt;font-family:Helvetica;color:black"><o:p> </o:p></span></font></p>
</div>
<div id="yui_3_16_0_1_1454407169002_5452">
<p class="MsoNormal" style="background:white"><font size="1" color="black" face="Helvetica"><span style="font-size:9.0pt;font-family:Helvetica;color:black">Merci<o:p></o:p></span></font></p>
</div>
<div id="yui_3_16_0_1_1454407169002_5451">
<p class="MsoNormal" style="background:white"><font size="1" color="black" face="Helvetica"><span style="font-size:9.0pt;font-family:Helvetica;color:black"><o:p> </o:p></span></font></p>
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<div id="yui_3_16_0_1_1454407169002_5410">
<p class="MsoNormal" style="background:white"><font size="1" color="black" face="Helvetica"><span style="font-size:9.0pt;font-family:Helvetica;color:black">Dr COULIBALY Moussa<o:p></o:p></span></font></p>
</div>
<div id="yui_3_16_0_1_1454407169002_5408">
<p class="MsoNormal" style="background:white"><font size="1" color="black" face="Helvetica"><span style="font-size:9.0pt;font-family:Helvetica;color:black">Centre Hospitalier d'Agen<o:p></o:p></span></font></p>
</div>
<div id="yui_3_16_0_1_1454407169002_5409">
<p class="MsoNormal" style="background:white"><font size="1" color="black" face="Helvetica"><span style="font-size:9.0pt;font-family:Helvetica;color:black"><o:p> </o:p></span></font></p>
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