Peritoneal Dialysis Adequacy
The concern over the high morbidity and mortality of dialysis patients lead the renal community to develop a set of rigorous clinical practice guidelines aimed at changing nephrology practice patterns and thereby improve patient outcomes. In peritoneal dialysis the adequacy of delivered dose depends on many factors, including the transport properties of the peritoneal membrane, assessed by the peritoneal equilibration test (PET). Of the few available measures of PD dose, total weekly Kt/Vurea and total creatinine clearance normalized to 1.73 m2 BSA are the best, because they are most strongly associated with mortality and morbidity.
The Network goals for Peritoneal Dialysis adequacy are:
- All patients measured for adequacy every 4 months
- ≥85% of peritoneal patient population achieve a weekly Kt/V urea ≥1.7
Below are some resources that the Network has collected and offers to facilities as tools to assist in improving the Peritoneal Dialysis adequacy of your patients. The resources are only a small sample of what is available. The Network does not endorse the use of any one tool over another but offers them for your review and consideration. Pediatric resources can also apply to adult patients.
CQI Process Improves Peritoneal Dialysis Adequacy
by D. Viker, RN, BSN et.al. (DIALYSIS & TRANSPLANTATION VOLUME 28, NUMBER 2 FEBRUARY 1999)