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Dialysis 

Dialysis
Chapter:
Dialysis
Author(s):

Jonathan Barratt

, Kevin Harris

, and Peter Topham

DOI:
10.1093/med/9780199229567.003.0013
Page of

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date: 27 May 2020

Dialysis strategies 480

Vascular access 488

Hemodialysis, hemofiltration and hemodiafiltration 494

Peritoneal dialysis 506

Adequacy of dialysis 518

Medical management of the dialysis patient 528

Psychological aspects of treatment for renal failure 538

Many kidney diseases cause a slowly progressive decline in renal function over 10–20 years. There are few curative treatments and, even where the primary disease is inactive (e.g. vasculitis), renal function often continues to decline once a critical nephron mass has been lost. Intensive treatments aimed at tight BP control, blockage of the renin–angiotensin system and control of other cardiovascular risk factors may reduce the rate of renal function loss. However, this may only delay the time before replacement of renal function is required....

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