Initiation and Maintenance

Module 3: Initiation & Maintenance of In-Center Hemodialysis

  • Initiation Protocols  
    • Transitioning from ICU therapies (CRRT/SLED) to outpatient ICHD
    • Infection and sepsis: catheter management, antimicrobial dialysis
    • Acutely ill modifications: blood flow, ultrafiltration, dialysate temperature
  • Chronic Management Strategies
    • Adjusting prescriptions across disease progression
    • Fluid status reassessment: bioimpedance, dry weight recalibration
    • Preserving residual kidney function with pharmacologic support

Acute vs. Chronic Scripts
Intensive vs Standard Therapy
Anticoagulation