Criteria for Adequate Hemodialysis
The uremic syndrome results in multisystem organ failure which is only partly responsive to adequate dialysis. There is variable ongoing morbidity such as impaired appetite, mild sensory neuropathy, renal osteodystrophy and pruritis in well dialyzed patients and the mortality rate is strongly dependent on associated illnesses (1). Because of this variable ongoing clinical morbidity in these patients despite fully “adequate” dialysis it is very difficult if not impossible to reliably optimize the dose of dialysis from empirical observation of patient symptoms alone.
KeywordsToxicity Urea Neuropathy Assure Uremia
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