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The prescription of hemodialysis
1George Washington University Medical Center, Washington, DC, USA.
Abstract:
Delivery of adequate dialysis is essential to assure optimum outcomes for dialysis patients. The prescription of hemodialysis by the nephrologist must follow an orderly process that includes the definition of the total quantity of urea clearance to be administered (in liters), the description of the dialysis variables required to deliver the prescribed treatment, the blood flow rate, the dialyzer to be used, the dialysate flow rate, and finally, the means required to assess the quantity of treatment actually delivered. If attention is paid to these areas, underdialysis can be avoided and patients will gain maximum benefit from dialysis.
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