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Edgar V. Lerma πŸ‡΅πŸ‡­ Profile picture
Edgar V. Lerma πŸ‡΅πŸ‡­
@edgarvlermamd
Chicago Sports Fan... Nephrologist by day. My tweets are not medical advice. The views expressed here are my own and not those of my employer.

Aug 5, 2019, 6 tweets

Hemodialysis 101: Water and Dialysate
πŸ“Œ During HD, patients are exposed to 120-200 L of dialysis solution during each dialysis treatment
#Nephpearls #DialysisDirector

Water contaminants that are toxic to patients on dialysis
#Nephpearls #DialysisDirector
πŸ‘‰πŸΌ cjasn.asnjournals.org/content/clinja…

Methods of purifying water for hemodialysis
#Nephpearls #DialysisDirector
πŸ‘‰πŸΌ cjasn.asnjournals.org/content/clinja…

Current recommendations for product water used to prepare dialysis solutions:
πŸ“Œ < 100 CFU/mL of bacteria
πŸ“Œ < 0.25 EU/mL of endotoxin
πŸ‘‰πŸΌ Maximum levels for the final dialysis solution are 100 CFU/mL and 0.5 EU/mL, respectively
#Nephpearls #DialysisDirector

ULTRAPURE dialysis solution
πŸ“Œ Bacteria level < 0.1 CFU/ mL
πŸ“Œ Endotoxin level < 0.03 EU/mL

βœ”οΈ ⬇️ CRP ⬇️ IL-6
βœ”οΈ Better response of anemia to EPO
βœ”οΈ Better nutrition
βœ”οΈ ⬇️ Ξ²2-microglobulin & pentosidine
βœ”οΈ Slower loss of RKF
βœ”οΈ ⬇️ CV morbidity
#Nephpearls #DialysisDirector

Standard hemodialysis solution
#Nephpearls #DialysisDirector

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