Adequator

Web app for extracorporeal therapies | developed by @galindozip | not sponsored

[IMIN @IMINmx]

Nefrólogos mexicanos desarrollan y validan una aplicación para predecir los valores de urea y electrolitos posterior a una sesión de hemodiálisis intermitente.

Galindo et al. BMC Nephrology 2025.
https://t.co/PFdGC6Uo0Z

[Adequator @adequator_app]

Check our new Original Article

We describe, validate, and automate a method to predict post-hemodialysis urea and electrolytes using only the prescription.

https://t.co/ziMzphYIUp

BMC nephrology 2025

Free👇
https://t.co/VUpmHuq57K

[Adequator @adequator_app]

@JonathanNefro https://t.co/QYuOxuD9K4

[Adequator @adequator_app]

🚨 No evidence of clinical advantage between modalities. Decide according to:

1.- Available technology
2.-Circuit life (low filtration fraction, CVVHD, citrate)
3.- Established institutional practice

Use #ADEQUATOR to distribute your dose

[Adequator @adequator_app]

CRRT: Dose and Modality
https://t.co/5Xsw2IbW0n
In CRRT, effluent flow is so slow relative to blood flow that it becomes 100% saturated. Therefore:

Small solute clearance = Effluent volume
CRRT dose = 25–30 ml/kg/hr of effluent volume

#CRRT #CKRT #Prescription #Adequator

🧵1/

[Adequator @adequator_app]

CRRT in an 80-kg patient

🟣🟢 CVVHDF (ultrafiltrate + dialysate)
25 ml/kg/hr
25 × 80 = 2000 ml/hr

🧵5/

[Adequator @adequator_app]

https://t.co/tVxhCRbiSb

[Adequator @adequator_app]

¡New calculator ! 🚨

Therapeutic Plasma Exchange (TPE)

-Estimated plasma volume
-Macromolecule Kinetics
-Albumin replacement solution calculator

https://t.co/k5HVYpZC5h

[Adequator @adequator_app]

🚨True Calcium 🚨
The Ionized Calcium Calculator

New web app version
Mobile apps will be down soon

https://t.co/1p1pTDmWzn

[Adequator @adequator_app]

@Kidney_Power @ArgaizR Dale una oportunidad esta nueva es aún más la onda, tiene formato amigable para celular.

[Adequator @adequator_app]

ADEQUATOR 2.0 🚨🚨🚨🚨

Moving from mobile apps to a very cool web app

⚠️Mobile apps will be down on December

Try the new version
-HD predictor
-CRRT prescription
-Regional citrate anticoagulation
-Sodium correction with CRRT

https://t.co/v4rCkCq6ZQ

[Adequator @adequator_app]

@Kidney_Power No

[Pablo Galindo @galindozip]

@kidney_boy We have a prospective cohort of urgent CKD patients to externally validate @adequator_app ,It has been very accurate to predict post HD: Na, K & BUN (Image 1)

So I will #Adequate
2 hrs,QB 300, QD 300, K2 bath and 130 Na bath to obtain post HD:

Na: 122 meq/L
K: 5.36 meq/L

[Adequator @adequator_app]

We are back in the apple store

[Adequator @adequator_app]

@FranLoachamin Ya estamos de vuelta

[Adequator @adequator_app]

@NephroGuy @galindozip We have it ready and validated, we need to program to the app.

This is how it would look:
- Input: any therapy you want
- Output: K, KT, KT/V, weekly Kt/V, hours per week, RR, E saturation among others

An example of three different therapies:

[Adequator @adequator_app]

True Calcium

https://t.co/IAJSHE2oPk

[Ramírez Sandoval Juan C @jc25wing]

Si medimos calcio sérico, evitemos las correcciones basadas en albúmina (antes por cada gr de albúmina menor de 4 g/dL, se aumentaba 0.8 mg/dL al calcio total). Es mejor medir el calcio libre (ionizado) o utilizar fórmulas para su predicción. https://t.co/6BGxzZNr1t @galindozip