Technological Aspect for Hemodialysis
Fig. 5.1 Relationship between molecular weight and clearance (K) What solutes should be removed is significantly important from the point of view of technological aspect introduced in this chapter. Small…
Peritoneal Dialysis Prescription
Fig. 14.1 The essential indicators for determining optimal dialysis. RRF , residual renal function 14.1.1 Adequate Solute Clearance In dialysis patients, solute clearance is determined by clearance derived from both…
Types of PD
Fig. 12.1 Diagrammatic representation of continuous ambulatory peritoneal dialysis (CAPD) Choosing the PD modality takes into consideration both medically optimal adequacy and patient preferences. Patient preferences are considered for patient…
The Basics of Vascular Access Construction and Its Timing
1. The purpose of VA construction 2. The method of VA construction (surgical procedure) and pre-surgical examinations 3. Introduction to the surgeon and assistant 4. Method of anesthesia 5. Time of operation 6. What to be…
Anticoagulation
Fig. 7.1 Targets of anticoagulants within the coagulation cascade Application of heparin during hemodialysis requires an initial loading dose and followed by a maintenance dose. Although the heparin dosage has…
Peritoneal Access
Confirmation of the past of the abdominal surgery (standard laparotomy/laparoscopic surgery, decision of the insertion part) Decision of exit site position (standard abdominal position/previous fort/lower fort/upper abdominal wall/other special exit)…
Kinetic Modeling and Adequacy in PD
Fig. 15.1 A schematic concept of Kt/V urea and creatinine clearance . D dialysate, P plasma, V urea volume of distribution of urea, CrCl creatinine clearance, Cr creatinine, BSA body…
Peritoneal Physiology and Peritoneal Membrane
Fig. 11.1 A sagittal section through the abdomen. Visceral and parietal peritoneum is shown, respectively From the viewpoint of the insertion of a peritoneal dialysis catheter (PDC) from the anterior…
The Concept of Hemodialysis Adequacy and Kinetics
1. Dialysis dose is expressed by the single-pool Kt/V for urea (spKt/V) 2. Measurement of the dialysis dose is done at least once a month 3. Recommended delivered dialysis dose…
Hemodiafiltration
Fig. 10.1 characteristics of diffusion (left) and convection (right). Diffusion is a function of KoA (mass transfer area coefficient) of the dialyzer , Qb (blood flow), and Qd (dialysate flow);…
