Internal Medicine: Renal Replacement Therapy

Internal Medicine · Clinical Specialties

How it begins

Análisis exhaustivo de los fundamentos, modalidades, prescripción, complicaciones y correlaciones clínicas de la terapia de reemplazo renal aguda y crónica.

What it covers

1. Physical-Chemical Principles of Solute Exchange
2. · Diffusion
3. · Convection (Ultrafiltration)
4. · Adsorption
5. · Characteristics of Dialysis Membranes
6. · The Dialyzer: Structure and Efficiency
7. Indications for Renal Replacement Therapy
8. · Absolute Indications ("AEIOU"): Urgent Start
9. · Indications in ERC: Elective / Scheduled Start
10. · Indications in AKI: Start in ICU
11. Intermittent Hemodialysis — Fundamentals and Technique
12. · Extracorporeal Circuit and Hemodialysis Machine
13. · HD Prescription Parameters
14. · Hemodialysis Modalities
15. Vascular Access for Hemodialysis
16. · Native Arteriovenous Fistula (AVF)
17. · Prosthetic Grafts (PTFE)
18. · Central Venous Catheters (CVC) for Hemodialysis
19. Prescription and Appropriateness of Hemodialysis
20. · The Kt/V: Universal Dialysis Dose Measurement
21. · Concept of Standard Kt/V (stdKt/V)
22. · Kt/V limitations
23. · Clearance of β₂-Microglobulin and Phosphorus
24. Anticoagulation in Renal Replacement Therapy
25. · Unfractionated Heparin (UFH) — Classic Standard
26. · Low Molecular Weight Heparins (LMWH)
27. · Regional Anticoagulation with Citrate (ARC)
28. · Heparin-Free Dialysis (SH)
29. · Heparin-Induced Thrombocytopenia (HIT)
30. Acute Complications of Hemodialysis
31. · Intradialytic hypotension (IDH)
32. · Dialysis Imbalance Syndrome (DDS)
33. · Other Acute Complications
34. Chronic Complications of Hemodialysis
35. · Cardiovascular Disease: The Main Cause of Death
36. · Anemia in Dialysis and Erythropoiesis Stimulating Agents (that)
37. · Bone Mineral Alterations (CKD-MBD)
38. Peritoneal Dialysis
39. · The Peritoneum as a Dialysis Membrane
40. · Characteristics of Peritoneal Transport: Peritoneal Balance Test (PET)
41. · Peritoneal Dialysis Modalities
42. · Peritonitis in Peritoneal Dialysis
43. · Ultrafiltration Failure and Peritoneal Sclerosis
44. Continuous Renal Replacement Therapies (CRRT)
45. · TRRC modalities
46. · Dose in CRRT
47. · CRRT and Sepsis: The Cytokine Removal Debate
48. · Recovery of Kidney Function and Chronic Dependency on RRT
49. Special Extracorporeal Techniques
50. · Plasmapheresis / Therapeutic Plasma Exchange (TPR)
51. · MARS System (Molecular Adsorbent Recirculating System) — Liver Dialysis
52. · LDL-Apheresis and Other Specific Apheresis
53. Nutrition in Dialysis Patients
54. · Nutritional Recommendations in Dialysis (KDOQI 2020, ESPEN 2021)
55. · Oral Nutritional Supplementation (ONS) and Intradialytic Supplementation (IDPN)
56. Kidney Transplant: The Optimal Replacement Therapy
57. · Types of Kidney Transplant
58. · Post-Kidney Transplant Immunosuppression
59. · Rejection of the Graft
60. TRR in Special Situations
61. · TRR in the Diabetic Patient
62. · TRR in the Elderly
63. · RRT in Pregnancy
64. · TRR in Acute Intoxications
65. · Decision to Withdraw Dialysis: Renal Palliative Care