It can be done at home, but requires careful technique. Its advantage is more freedom and less needle sticks. The disadvantages are peritonitis and membrane failure. Elderly and debilitated patients may have low creatinines due to decreased muscle mass - GFR equates to average of urea clearance and creatinine clearance. Use with a six hour collection Issues in dialysis Erythropoietin - Control of anemia is very important to protect the heart, and to maximize energy.
Dialysis adequacy is measurable.
Know your number. Albumin - This is a marker of nutrition, but if low can also signified that you are not adequately dialyzed. Blood pressure control - Start early to control your blood pressure. High blood pressure damages your heart. Exercise - It is important for dialysis patients to exercise as much as possible.