Treatment of intra-dialytic hypertension should be individualized to the patient and includes lowering of dry weight, changing to non-dialyzable antihypertensive medications which inhibit RAAS or lower Endothelin, considering switching from intravenous to subcutaneous ESA, and altering the dialysis prescription
As the patient had vascular access problem and reluctant to the idea of temporary dialysis catheter, treatment with PD was continued with change of dialysis prescription
The reverse osmosis unit is the next step, which further purifies the pre-treated water so that it may be used in the dialysis prescription
A longer, overnight therapy also allows greatly expanded flexibility in dialysis dose and schedule, better enabling physicians to match the dialysis prescription
to individual patient needs.
As a result of the NCDS, dialysis time was not been considered the only key factor in the dialysis prescription
On-line monitoring of the dialysis dose has been suggested as a valuable tool to ensure adequate dialysis prescription
Behavioral compliance with dialysis prescription
in hemodialysis patients.
The recent heavily funded HEMO study demonstrated that patients dialyzed with high-flux vs low-flux membranes, or a higher dose vs a lower dose of dialysis prescription
, had no differences in mortality (15).
These improvements in hemodialysis adequacy over this time period were accompanied by changes in the dialysis prescription
The dialysis prescription
, made up of the length of the cycle as well as the amount of dialysate used, is determined by the physician based on the individual's needs.
Both provide the first ingredient in the dialysis prescription
This covers supplies and accessories for 90 to 120 bags per month according to the peritoneal dialysis prescription
and will translate to P22,500 per month, barely enough for the required number of solutions of 120 bags for a patient who undergoes 4 exchanges a day, totaling P28,560 at P238 per bag rate at the NKTI," he said.