This book is an evidence-based review of the practical challenges of dealing with patients receiving dialysis. The first section covers technical and procedural considerations such as choosing the hemodialysis membrane and choosing the best dialysis option. The second section covers clinical considerations such as infection and the treatment of specific renal disease complications. The book includes numerous illustrations and tables and drug charts for dialysis patients. This edition's current outcomes chapter has been expanded to include patient depression and improving quality of care. New chapters cover dialysis in the ICU, valvular heart disease, and pre-emptive renal transplantation.

Contributing Authors
Preface
Acknowledgments
1 Choice of the Hemodialysis Membrane 1
2 Reuse of Hemodialysis Membranes in Chronic Dialysis Therapy 16
3 Dialysate Composition in Hemodialysis and Peritoneal Dialysis 28
4 Hemodialysis Vascular Access 45
5 Recirculation in the Hemodialysis Access 64
6 Anticoagulation Strategies During Hemodialysis Procedures 73
7 Approach to Hemodialysis Kinetic Modeling 82
8 Choosing the Best Dialysis Options in the Patient with Chronic Renal Failure 103
9 Hemodialysis Adequacy and the Timing of Dialysis Initiation 111
10 High-flux, High-efficiency Procedures 128
11 Longer Time Dialysis-Nocturnal Dialysis 137
12 Prescribing Drugs for Dialysis Patients 147
13 Continuous Dialysis Therapeutic Techniques 162
14 Adequacy of Peritoneal Dialysis 181
15 Causes, Diagnosis, and Treatment of Peritoneal Membrane Failure 206
16 Hypertension in Dialysis Patients 227
17 Left Ventricular Dysfunction in Dialysis Patients 257
18 Coronary Artery Disease in End-Stage Renal Disease Patients 268
19 Autonomic Neuropathy and Hemodynamic Stability in End-stage Renal Disease Patients 282
20 Oxidant Stress in End-stage Renal Disease 296
21 Infection and Immunity in End-stage Renal Disease 307
22 Hepatitis and Human Immunodeficiency Virus Infections in End-stage Renal Disease Patients 323
23 [beta][subscript 2]-Microglobulin-associated Amyloidosis of End-stage Renal Disease 352
24 Endocrine Disorders in Dialysis Patients 362
25 Gastrointestinal Complications in End-stage Renal Disease 374
26 Renal Osteodystrophy 381
27 Acid-base Considerations in End-stage Renal Disease 393
28 Dyslipidemia in Dialysis Patients 408
29 Dialysis Considerations in the Patient with Acute Renal Failure: ICU Dialysis 420
30 Malnutrition and Intradialytic Parenteral Nutrition in End-stage Renal Disease Patients 441
31 Disorders of Hemostasis in Dialysis Patients 453
32 Treatment of Anemia in Dialysis Patients 464
33 Neurologic Complications Associated with Dialysis and Chronic Renal Insufficiency 502
34 Acquired Cystic Kidney Disease in Dialysis Patients 513
35 The Geriatric Dialysis Patient 524
36 Diabetic Dialysis Patients 543
37 Quality of Life nd Rehabilitation in Dialysis Patients 556
38 Extracorporeal Methods in the Treatment of Poisoning 570
39 Chronic Dialysis in Children 592
40 Acute Dialysis in Children 617
41 Infections in Patients on Peritoneal Dialysis 629
42 Preparing Dialysis Patients for Renal Transplantation 648
43 Current Outcomes for Dialysis Patients 662
Subject Index 673