Page 63 - อ.พัชรินทร์ -Management of Acute Complication During Hemodialysis21112021

Prevention of DDS

 First session  Bicarbonate: Target

 Target urea reduction: < 40% post – dialysis serum

 BFR 150-200 ml/min bicarbonate 15-22

mEq/L (use dialysate
 DFR 300-500 ml/min (2-3 x BFR)

bicarbonate 20-25

 Less than 2 hour treatment time mEq/L)

 Low efficient dialyzer  Hyperosmolar agent to

2
(SA. 0.9-1.2 m ) maintain plasma

 Dialysate Na equal or greater osmolality (50%

than serum Na glucose 50-100 ml.)