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  • Kt/V  (1)
  • Medical Engineering  (1)
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    Keywords: Renal Dialysis methods ; Kidney Failure, Chronic therapy ; Quality of Life ; Time Factors ; Treatment Outcome ; Cardiovascular System ; Dialysis ; Medical Engineering ; Nephrology
    Description / Table of Contents: As the frequency of hemodialysis sessions has always been a concern, it is not astonishing that interest in quotidian (daily) hemodialysis appears to be growing worldwide. The main reasons for more frequent dialysis are to maximize well-being and minimize both intra- and interdialytic symptoms, as well as to improve the treatment of patients with severe underlying medical problems, particularly cardiovascular disease. Moreover, studies also indicate overall potential cost savings as compared with current conventional hemodialysis.There are two options available, namely short daily and long nightly treatments. The main difference centers on the ability of the nightly regimen to remove greater amounts of phosphate and beta-2-microglobulin. Even so, there is no doubt that both treatments are highly preferable to conventional three times weekly dialysis. Further issues which are discussed include the requirements necessary to run dialysis programs, vascular access requirements, and the management of complications and risks such as calcium and phosphorus control. This is the first publication devoted solely to daily hemodialysis therapies: Concentrating on clinical and technical issues, it is an important contribution to the practical development of daily hemodialysis and is highly recommended to nephrologists, nurses, managers of renal programs and others involved in renal care
    Type of Medium: Online Resource
    Pages: X + 126 S.
    Edition: Online-Ressource Karger eBooks Collection 1997-2009
    ISBN: 9783318011333
    Series Statement: Contributions to nephrology 145
    Language: English
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    Geriatric nephrology and urology 7 (1997), S. 147-156 
    ISSN: 1573-7306
    Keywords: hemodialysis ; adequacy ; nutrition ; Kt/V ; PCR ; elderly
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Mortality and morbidity on dialysis remains high regardless of age in spite of technological improvements. While some of this is explainable and acceptable and related to co-morbid problems such as heart disease, malignancy, diabetes, etc. much is also preventable. Data from the literature would indicate that the provision of adequate dialysis as determined by a Kt/V (urea) of 〉 1.2 or a urea reduction rate (URR) 〉 65% will improve outcome. Attention to the nutritional status of the patient should also have impact. Low serum levels of urea, creatinine, albumin, anion gap, ideal body weight, and a low dietary protein intake as suggested by a reduced protein catabolic rate, are bad prognostic features. The elderly are more likely to have these features. While many factors may contribute to or cause protein malnutrition, underdialysis should be one easily recognized and reversible cause. Underdialysis will inevitably lead to poor nutrition and have an adverse effect on outcome.
    Type of Medium: Electronic Resource
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