Dialyseprotocollen

Dialyseprotocollen are standardized, evidence-based guidelines used by nephrology teams to plan, deliver, and monitor dialysis treatments for patients with kidney failure. They encompass both hemodialysis (HD) and peritoneal dialysis (PD) and cover the full care process from prescription through follow-up, with the aim of ensuring safety, consistency, and optimal outcomes.

A typical protocol specifies treatment goals and prescription parameters. For HD, this includes dialyzer type, flow rates, session duration, ultrafiltration targets, anticoagulation strategy, and dialysate composition. For PD, it covers solution concentrations, dwell times, exchange schedules, and infection prevention measures. Dialyseprotocollen also address essential safety aspects such as water quality for dialysate, monitoring of electrolytes and acid-base balance, blood pressure management, and detection and management of complications (hypotension, electrolyte disturbances, infections, vascular access issues).

Patient-specific factors are integrated into protocols, with guidance on adjustments for residual renal function, comorbidities, age, frailty, and vascular access status. Documentation, dose targets (such as delivered dialysis dose like Kt/V or URR), and regular assessment of fluid status are typically outlined to support quality assurance and audit cycles.

Staff roles, training requirements, and infection control practices are commonly included, along with processes for equipment maintenance, incident reporting, and continuous improvement. Protocols are periodically updated to reflect new evidence, guidelines (for example KDIGO recommendations), and local resources. While they standardize care, they remain adaptable to individual patient needs and clinical judgment.