Adequacy of Haemodialysis at the Fiji Dialysis Centre

Hemodialysis constitutes the most common form of renal replacement therapy worldwide in patients with end stage kidney disease (ESKD). It relies on the principle of solute diffusion across a semi permeable membrane and its main goal in ESKD is to restore body's extra cellular and intracellular composition to that of normal to the greatest extent positive. The term adequacy of hemodialysis was originally used extensively to describe dialysis dosing but now includes broader aspects of the management of complications of and comorbidities of ESKD. From a clinical perspective, probably the best marker of adequacy is a physically active, well nourished, nonanemic, normotensive patient with no complaints. Adequacy purely in terms of dialysis dose refers to delivery of a treatment dose that is considered high enough to promote an optimal long-term outcome.