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METHODOLOGY OF ASSESSMENT OF FLUID STATUS AND ULTRAFILTRATION PROBLEMS

Renal Unit, Leeds General Infirmary, United Kingdom

Correspondence to: G. Woodrow, Renal Unit, Leeds General Infirmary, Great George Street, Leeds LS1 3EX U.K. graham.woodrow{at}leedsth.nhs.uk

Loss of sodium and water excretion with disruption of volume homeostasis is a crucial abnormality of end-stage renal failure. Fluid management is a fundamental function of dialysis therapy, but studies show frequent occult fluid overload, hypertension, and cardiac dysfunction in peritoneal dialysis. A rigorous approach to fluid management in PD can achieve excellent fluid, hypertension, and cardiovascular results in clinical practice. The present article explores the reasons for fluid overload and poor ultrafiltration in peritoneal dialysis patients and discusses optimal assessment and management of these problems.

KEY WORDS: Fluid balance; ultrafiltration; bioelectrical impedance; peritoneal membrane function.

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