Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Hemodialysis III: Nursing Management01:25

Hemodialysis III: Nursing Management

1.2K
The nursing management of a patient undergoing hemodialysis includes several critical steps, starting with a thorough assessment before the procedure.Before the Hemodialysis ProcedureFirst, record the patient's vital signs—blood pressure, heart rate, respiratory rate, and temperature—to establish a baseline. This baseline is essential for detecting conditions such as hypotension that could impact the patient's response to dialysis. Document the patient's pre-dialysis weight, as this...
1.2K
Hemodialysis II: Procedure and Complications01:24

Hemodialysis II: Procedure and Complications

1.3K
DialyzersA hemodialysis (HD) dialyzer is a plastic cartridge containing thousands of parallel hollow fibers, which serve as semipermeable membranes. These fibers are typically made from cellulose-based or other synthetic materials. During HD, blood is pumped into the top of the cartridge and distributed among these fibers. Simultaneously, dialysis fluid, known as dialysate, is introduced into the bottom of the cartridge, bathing the outside of the fibers. Across the semipermeable membrane,...
1.3K
Hemodialysis I: Introduction01:25

Hemodialysis I: Introduction

2.3K
Hemodialysis (HD) is a medical treatment that artificially removes waste products, excess fluids, and toxins from the blood when the kidneys are no longer able to perform these functions effectively. In this process, blood is filtered through a semipermeable membrane, allowing for the selective removal of waste while preserving necessary components like blood cells and proteins. Hemodialysis is typically performed in patients with end-stage renal disease (ESRD) or severe kidney...
2.3K
Dialysis01:27

Dialysis

1.7K
Renal failure occurs when the kidneys lose their ability to filter waste products from the blood effectively. It can be classified into two types: acute renal failure (ARF) and chronic renal failure (CRF).
Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...
1.7K
Dialysis01:15

Dialysis

2.0K
Dialysis is a diffusion-based purification process that separates analyte molecules from a complex matrix. This is accomplished by allowing molecules in the solution to pass through a semipermeable membrane into a liquid on the other side. The membrane is usually made of cellulose acetate or cellulose nitrate, and the second liquid must be miscible with the solution. Ions (e.g., chloride or sodium) or organic molecules (e.g., glucose) can pass through the membrane pores, which generally have...
2.0K
Peritoneal Dialysis III: Nursing Management01:25

Peritoneal Dialysis III: Nursing Management

1.1K
Peritoneal dialysis, or PD, utilizes the peritoneal membrane as a filter to eliminate excess fluid and waste products. Effective nursing management is essential for ensuring patient safety, preventing complications, and promoting optimal function of the peritoneal dialysis process.Assessment and MonitoringNurses must thoroughly assess the patient before, during, and after each dialysis session. Regular monitoring includes vital signs, daily weight, fluid intake and output, and laboratory values...
1.1K

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Cholecalciferol and muscle strength in hemodialysis patients: results from the randomized VITADIAL trial.

Clinical kidney journal·2026
Same author

Effect of dialysate buffer practices on serum parathyroid hormone concentrations in real-life french patients receiving hemodialysis.

PloS one·2026
Same author

Water Consumption and Chronic Hemodialysis Therapy: Where Do We Stand? Where Must We Go? Review of Clinical Practices.

Nephron·2026
Same author

Quality of life of female partners of patients who underwent penile prosthesis implantation: A multicenter retrospective study.

The French journal of urology·2026
Same author

High level of infection-related hospitalizations in the 2019-2020 French national dialysis cohort.

Clinical kidney journal·2025
Same author

Being autonomous in dialysis: association with occupational status, social activity level, quality of life, and physical activity level.

Nephrologie & therapeutique·2025

Related Experiment Video

Updated: Mar 3, 2026

A Murine Model of Hemodialysis Access-Related Hand Dysfunction
08:39

A Murine Model of Hemodialysis Access-Related Hand Dysfunction

Published on: May 31, 2022

2.1K

Volume Control in Hemodialysis Patients.

Bernard Charra1, Charles Chazot1, Jean-Marc Hurot1

  • 1Centre de Rein Artificiel, Tassin, France.

Hemodialysis International. International Symposium on Home Hemodialysis
|April 30, 2017
PubMed
Summary

Maintaining normal extracellular volume (ECV) is crucial for blood pressure control in dialysis patients. Achieving dry weight, the ideal postdialysis weight, helps manage hypertension and reduce cardiovascular disease mortality.

Keywords:
Extracellular volumeblood pressuredry weightultrafiltra tion rate

More Related Videos

Measurement of Tissue Oxygenation Using Near-Infrared Spectroscopy in Patients Undergoing Hemodialysis
04:36

Measurement of Tissue Oxygenation Using Near-Infrared Spectroscopy in Patients Undergoing Hemodialysis

Published on: October 2, 2020

2.7K
An Open-Source Normothermic Perfusion System Designed for Research Scientists
11:23

An Open-Source Normothermic Perfusion System Designed for Research Scientists

Published on: July 18, 2025

1.3K

Related Experiment Videos

Last Updated: Mar 3, 2026

A Murine Model of Hemodialysis Access-Related Hand Dysfunction
08:39

A Murine Model of Hemodialysis Access-Related Hand Dysfunction

Published on: May 31, 2022

2.1K
Measurement of Tissue Oxygenation Using Near-Infrared Spectroscopy in Patients Undergoing Hemodialysis
04:36

Measurement of Tissue Oxygenation Using Near-Infrared Spectroscopy in Patients Undergoing Hemodialysis

Published on: October 2, 2020

2.7K
An Open-Source Normothermic Perfusion System Designed for Research Scientists
11:23

An Open-Source Normothermic Perfusion System Designed for Research Scientists

Published on: July 18, 2025

1.3K

Area of Science:

  • Nephrology
  • Cardiovascular Medicine
  • Clinical Hypertension

Background:

  • Cardiovascular disease (CVD) is a primary cause of mortality in dialysis patients, often linked to inadequate blood pressure (BP) management.
  • Normalizing extracellular volume (ECV) is essential for achieving stable blood pressure (normotension).
  • The concept of dry weight links ECV and BP, defining an ideal postdialysis weight for maintaining normotension without antihypertensive drugs.

Purpose of the Study:

  • To explore the challenges and strategies associated with achieving and maintaining dry weight in dialysis patients.
  • To highlight the importance of ECV and BP control for improving outcomes in patients undergoing dialysis.
  • To discuss factors influencing the effectiveness of the dry weight method for hypertension management.

Main Methods:

  • Clinical evaluation considering factors like nutritional status, symptom variability, and time lags between ECV and BP changes.
  • Management of ECV through dietary salt restriction to minimize interdialytic weight gain (saline overload).
  • Utilizing dialysis sessions for diffusive and convective removal of salt and water.

Main Results:

  • Clinical assessment of dry weight is complicated by variable patient weight, nonspecific symptoms, and delayed BP responses to ECV shifts.
  • Factors hindering dry weight achievement include short dialysis sessions, high interdialytic weight gain, antihypertensive medications, and cardiac comorbidities.
  • Extended dialysis session times facilitate slower, more manageable ultrafiltration, aiding in achieving target dry weight.

Conclusions:

  • Effective management of extracellular volume and blood pressure through dry weight optimization is critical for reducing mortality in dialysis patients.
  • Addressing confounding clinical factors and optimizing dialysis parameters, such as session length, are key to successful dry weight achievement.
  • A comprehensive approach integrating dietary salt control, appropriate ultrafiltration, and careful clinical monitoring is necessary for managing hypertension in this population.