Renal Replacement Therapy. Optimal Pre-ESRD Management. Preventing or slowing progression Preventing complications of uremia such as anemia, ROD & malnutrition Preparing the patient for the RRT Planning for the creation of a permanent access for hemodialysis
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Progress in Therapy and
Quality of Life for the Patients
5.Signs of uremia, such as pericarditis, or an otherwise unexplained decline in mental status
6.Severe dysnatremias (155 < Na < 120 meq/L)
8. Overdose with a dialyzable drug/toxin
0.3 μg/kg IV
3 μg/kg IN
CAN DIALYSIS DELAY RECOVERY OF RENAL FUNCTION?
Liters of actual body water =
142 × liters of NTBW = 142 × (60% × 60) = 38.72
Predialysis serum Na 132
38.72 – 36 = 2.72 lit
NTBW= Normal Total Body Water