Which one of the following are items to assess when solute clearance per session in HD is marginal?
All the above need to be assessed to see if the clearance is good for HD session. Serum K and Na pre dialysis has not been evaluated to have any clearance related benefit. Access, dialysis flow rate, blood flow rate, duration of dialysis being the most important followed by blood pump speed, pathway stagnation, fiber bundle clotting, dialyzer surface area are also important components. Check out the free access HD core curriculum in AJKD 2013 for an excellent review on this topic. Watch out for an eAJKD quiz on this topic coming soon as well.