Major Components Of Dialysis Prescription

Choose a biocompatible membrane Prescribe a Kt/V >1.3 or a URR >70%

Rigorously ensure that the delivered dose equals the amount prescribed When the delivered dose is less than that prescribed do the following: Exclude factors listed in Figure 6-10 Increase blood flow rate >400 mL/min Increase dialysate flow rate to >800 mL/min Use a high-efficiency dialyzer Increase treatment time Choose dialysate composition: sodium, potassium, bicarbonate, and calcium Adjust ultrafiltration rate to achieve patients' dry weight (assess dry weight regularly) Adjust recombinant erythropoietin to maintain hematocrit between 33% and 36% When indicated, use 1,25(OH)2 vitamin D for treatment of secondary hyperparathyroidism Use normal saline, hypertonic saline, or mannitol for treatment of intradialytic hypotension

URR-urea reduction ratio.

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