How Can We Improve the Solute and Fluid Transport Prescriptions in Hemodialysis to Improve Patient Outcomes? | Zendy

Frank A. Gotch | Zendy; Peter Kotanko | Zendy; Nathan W. Levin | Zendy

AI Assistant Blog Pricing

Home ZAIA Blog

Open Access

How Can We Improve the Solute and Fluid Transport Prescriptions in Hemodialysis to Improve Patient Outcomes?

Author(s) -

Frank A. Gotch,

Peter Kotanko,

Nathan W. Levin

Publication year - 2013

Publication title -

blood purification

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.686

H-Index - 57

eISSN - 1421-9735

pISSN - 0253-5068

DOI - 10.1159/000346283

Subject(s) - dialysis , medical prescription , hemodialysis , intensive care medicine , medicine , balance (ability) , water electrolyte balance , phosphorus , chemistry , pharmacology , physical therapy , sodium , organic chemistry

Improvements in the dialysis prescription can only be achieved by changes in solute and water transport which provide better control of the metabolic uremic abnormalities that are amenable to dialysis. The key abnormalities identified here are protein catabolites, fluid and electrolyte balance, calcium and phosphorus balance and bone metabolism and acid-base balance. The history of the dialysis prescription is reviewed and changes which might improve the control of these metabolic systems are described. This review concludes there is no support for the recommendation of the routine application of long treatment time and routine use of hemodiafiltration.

The content you want is available to Zendy users.

Already have an account? Click here to sign in.

Having issues? You can contact us here

Accelerating Research