Prescribing and monitoring hemodialysis dose

Small patients require higher Kt/V, the ratio of dialysis dose (the product of small-molecule clearance (K) and dialysis session length (t) to body water volume (V), than large patients. The errors implicit in Kt/V for judging hemodialysis dose are reviewed; methods for prescribing hemodialysis base...

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Bibliographic Details
Published in:Kidney international 2008-08, Vol.74 (3), p.262-264
Main Author: Lowrie, Edmund G.
Format: Article
Language:English
Subjects:
Body Size
Dialysis Solutions - administration & dosage
Dose-Response Relationship, Drug
Humans
Models, Theoretical
Renal Dialysis - methods
Renal Dialysis - mortality
Renal Dialysis - standards
Survival Rate
Treatment Outcome
Urea - metabolism
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Summary:Small patients require higher Kt/V, the ratio of dialysis dose (the product of small-molecule clearance (K) and dialysis session length (t) to body water volume (V), than large patients. The errors implicit in Kt/V for judging hemodialysis dose are reviewed; methods for prescribing hemodialysis based on new technology are discussed; and thoughts about future development are suggested.
ISSN:0085-2538
1523-1755
DOI:10.1038/ki.2008.224