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
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
🚨 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
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 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
@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
@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:
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