Hemodialysis filters blood for patients with kidney failure. Removes waste products and excess water from blood. Can be outpatient or inpatient therapy. Requires specialized equipment and careful water purification
DDS is a rare but serious complication of hemodialysis. Characterized by neurological symptoms like fatigue and confusion. Incidence decreasing due to lower initial urea concentrations
eKt/V should be target for thrice weekly dialysis patients. Minimum 12 hours per week recommended for most patients. Monthly monitoring of dialysis dose strongly advised. Dialysate temperature should not exceed 36°C
Dialysis is needed when kidney function drops below 15% of normal levels. Stage 5 CKD requires dialysis or kidney transplant. Asymptomatic patients can delay starting until eGFR is 5-7 mL/min/1.73 m2
Hemodialysis filters wastes and water from blood using artificial kidney. Treatment helps control blood pressure and balance minerals. Not a cure for kidney failure but improves quality of life
URR measures dialysis quality by assessing waste product elimination from blood. URR should be measured monthly or every 12th dialysis session. Dialysis is considered adequate if URR is ≥65%