[Metabolic therapy with iodine 131 in patients with chronic renal failure. Clinical case].
METHODS
62 year-old male with CKD stage 5 in dialysis program since 2012 who underwent surgery for papillary thyroid carcinoma with lymph node metastasis. Subsequently, the patient was admitted to the Unit of Metabolic Therapy at his reference hospital, where he is administered 80 millicuries of iodine-131 as a treatment associated with the surgery, unable to have his conventional dialysis, nursing interventions required in various stages of implementation of the continuous extrarenal clearance techniques (TCDE) were performed.
The following care values were addressed targeted to patients undergoing treatment with I(131): specific equipment, personal protective measures and major diagnoses and nursing interventions.


RESULTS
TCDE, despite being attributed to very critical patients, they can be extrapolated to other patients in a given time. TCDE allowed these patients to undergo dialysis in a safe environment for staff, ensuring proper disposal of contaminated liquids.


CONCLUSIONS
TCDE were an effective treatment for the removal of I131, a single ssesion being necessary to normalize the levels of radioactivity. Coordination between services allewed ensure proper and effective treatment for the patient.
Unidad de Cuidados Intensivos, Hospital General Universitario de Cuidad Real , Ciudad Real, España. Electronic address: ivaroba@hotmail.com.
Inmaculada
I
Vázquez-Rodríguez Barbero
Unidad de Cuidados Intensivos, Hospital General Universitario de Cuidad Real , Ciudad Real, España.
María José
MJ
Espadas-Maeso
Servicio de Diálisis, Hospital General Universitario de Cuidad Real, Ciudad Real, España.
Ana
A
Muñoz-Morales
Servicio de Diálisis, Hospital General Universitario de Cuidad Real, Ciudad Real, España.
Pilar
P
Flores-Gómez
Servicio de Diálisis, Hospital General Universitario de Cuidad Real, Ciudad Real, España.
María Belén
MB
Serrano-Carretero
Servicio de Radiofísica y Protección Nuclear, Hospital General Universitario de Cuidad Real, Ciudad Real, España.
Juan José
JJ
Castedo-Sal
Servicio de Radiofísica y Protección Nuclear, Hospital General Universitario de Cuidad Real, Ciudad Real, España.
Elena
E
Sánchez Rey-Castro
Servicio de Radiofísica y Protección Nuclear, Hospital General Universitario de Cuidad Real, Ciudad Real, España.
Antonio
A
Zamorano-Córdoba
D006801:Humans; D007457:Iodine Radioisotopes / Q000627:therapeutic use*; D007676:Kidney Failure, Chronic / Q000378:metabolism / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D006435:Renal Dialysis; D016896:Treatment Outcome
D007457:Iodine Radioisotopes
Chronic renal insufficiency; Hemodiafiltración; Hemodiafiltration; Insuficiencia renal crónica; Radioisotopes of iodine; Radioisótopos de yodo.