| Theme |
Achieving Adequate Dialysis Prescription for Individual Patients |
| Title |
Common selection criteria of QB, QD, QS, and dilution method on hemodialysis in Japan |
| Author |
Kazuhiro Yoshikawa |
Department of Nephrology, Kawashima Hospital |
| Author |
Kenji Tsuchida |
Department of Urology, Kawashima Hospital |
| [ Summary ] |
In relation to HD, QB 100 - 120 ml/min in the induction phase, and QB 200-250 ml/min in the maintenance phase are common in most Japanese HD treatments. In our hospital, we always use vascular access (VA) soon after VA operations, and set the QB to 300ml/min with the single needle method in the induction phase and to 250 ml/min with the double needle method in the maintenance phase. A QD level of 500 ml/min is common in Japan. When planning HDF, we must select the off-line post-dilution method with the largest amount 10-15 l dilution buffer / session, considering insurance and its cost. |