A high proportion of hemodialysis patients in Pakistan had difficulty in following diet and fluid restriction as well as Dialysis prescription
. This finding is consistent with the range of compliance behaviors reported in other studies among dialysis patients in Asian countries4.
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
Once the water has been tested and its composition verified, it is ready to be the first ingredient 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
. The randomized Hemodialysis study (HEMO) did not find advantages in survival of patients treated with higher dialysis dose (expressed by Kt/V) or using high-flux dialysis membrane .
Residual renal function contributes to achieving adequacy targets; however, due to the fact that diuresis declines during the course of treatment, the dialysis prescription
must be modified to maintain the adequacy level, especially for patients with high body weight [45,47].
Parameters of dialysis prescription
(Table 1) were satisfied during the three experimental procedures.
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 mean dialysis session length increased from 196 minutes in late 1993 to 215 minutes in late 2000.
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.