Under-dialysis (Kt/V < 1.2) can increase the risk of complications in dialysis patients and thus decrease the long-term patient survival rate. It has been an important goal for members in a dialysis team to provide adequate dialysis for patients. Common factors of under-dialysis include: (1) large interdialytic weight gain; (2) vascular access dysfunction; (3) inadequate artificial kidney; (4) insufficient dialysis duration; (5) access recirculation; (6) artificial kidney coagulation; (7) re-used artificial kidney. As a team member, the nurse can improve the quality of dialysis services, reduce the numbers of under-dialyzed patients, and minimize unnecessary hospital admissions and medical expenses by enhancing diet education, assessing dry weight properly, emphasizing patient self-care of AV fistula for dialysis, educating patients on the importance of adequate dialysis duration, and choosing an adequate artificial kidney.
Under-dialysis (Kt/V < 1.2) can increase the risk of complications in dialysis patients and thus decrease the long-term patient survival rate. It has been an important goal for members in a dialysis team to provide adequate dialysis for patients. Common factors of under-dialysis include: (1) large interdialytic weight gain; (2) vascular access dysfunction; (3) inadequate artificial kidney; (4) insufficient dialysis duration; (5) access recirculation; (6) artificial kidney coagulation; (7) re-used artificial kidney. As a team member, the nurse can improve the quality of dialysis services, reduce the numbers of under-dialyzed patients, and minimize unnecessary hospital admissions and medical expenses by enhancing diet education, assessing dry weight properly, emphasizing patient self-care of AV fistula for dialysis, educating patients on the importance of adequate dialysis duration, and choosing an adequate artificial kidney.