Site Search

 

 

 

 

 

Home
General Topics
       Residual Renal Function
          The Importance of RRF
          Contrast Media
       Diabetes Management
          General Facts
          Pathophysiology
          PD and the Diabetic Patient
       Renal Osteodystrophy
          Renal Osteodystrophy Clinical Studies
       Numbers-Their Use and Interpretation
       Basic Statistics
       Choices for Home Dialysis
       Other
          Vaccinating CKD and Dialysis Patients
          32 yr dialysis patient receives Achievement award
Peritoneal Dialysis
       History of PD
          PD - The Foundations
          Early Clinical Experiences with PD
       Kinetic Principles
          Basic Principles of PD
             What is Dialysis?
             Anatomy of the Peritoneum
             Physiology of the Peritoneum
          StdKt/V - Dose Equivalency
       Peritoneal Transport 
          Understanding Testing Methods
          Prognostic Value of Transport Status
          Peritoneal Function After Exposure to PD
       Modalities of Therapy
          PD Techniques
          PD Modalities
       PD Adequacy
          Prescribing Dialysis
             Targets of PD Prescription
             Determinants of Dose
             Exchange Volume and Position
             How to Reach the Goals
             Monitoring the PD Patient
             Evaluating the Patient as a Whole
             Response to Inadequate Peritoneal Dialysis
          Difficulties in Providing Adequate Dialysis
       Ultrafiltration
          Importance of Volume Control
          How to Achieve Adequate PD UF
       Clinical Procedures
       Complications
          Non-Infectious Complications of PD
          Peritoneal Dialysis-Related Infections
             Peritonitis
             Management of ESI
       Dialysis Access
          The Evolution of PD Catheters
          Preop Management
          Placement of PD Catheters
          Intraoperative Management
          Post Operative Care and Management
          Complications of PD Catheters
       Clinical Outcomes
          Clinical outcomes of PD and HD
       Peritoneal Dialysis in Children
          Pediatric ESRD Incidence, Prevalence and Mortality
          Management of the pediatric patient on PD
          Utilization of PD for Acute Renal Failure and ESRD
          Prescription principles, adequacy and PET
          Additional care considerations: Nutrition, Growth,
       Dialysis Equipment & Disposables
          PD Solutions
       PD in the ICU
       Home Program Management
Hemodialysis
       History of Hemodialysis
       Kinetic Principles
          Impact of t & Kr on Kt/V
          StdKt/V - Dose Equivalency
       Modalities of Therapy
          Hemodialysis Regimens/Prescriptions
          Extracorporeal Modalities
       Home HD
          Introduction
          HD Regimens/Prescriptions
          The Influence of Dose, Time & Frequency
          Every other day HD (HD3.5)
          Time Versus Dialysis-Free Interval
          Benefits of Increased HD Frequency
          Increased Frequency – Other Modalities
          Potential Lifestyle Benefits of HD3.5
          Home Program Management
             Establishing a Home Program
       Intradialytic Complications
       Adequacy
          Difficulties in Prescribing Adequate Dialysis
       Sodium Modeling
       Hemodialysis Access
          Introduction to Vascular Access
          Overview of Arteriovenous Fistula
          Overview of Arteriovenous Grafts
          Overview of Central Venous Catheters
          Vascular Access Monitoring and Surveillance
       Access Complications
          Overview of Hemodialysis Complications
          AVF Stenosis
          Interventions for AVF and AVG Stenosis
          Primary Fistula Failure
          Catheter Related Bacteremia
Sorbent Technology
       History of Sorbent Technology
Seminars & Education
       WebEx Physician Courses
       WebEx Teleconference Workshops
       Online Nursing Courses
Educational Initiatives
Training Resources
       Kidney Options Kidney Options
       Patient Training Resources
       Training Resources for Professionals Training Resources for Professionals
Product Information
       Peritoneal Dialysis
          Fresenius Peritoneal Dialysis Connections
       Hemodialysis
Glossary
Links
       Journals
       Organizations
       Other Links
Contact Information
Calendar of Events
Contributors
General Topics > Residual Renal Function > The Importance of RRF

The Importance of Residual Renal Function

Consideration of residual renal function (RRF) is crucial in formulating a peritoneal dialysis (PD) prescription. The current standards of adequacy call for a total delivered dose of PD equivalent to a weekly Kprt/V > 1.7, where p and r denote peritoneal and renal contributions respectively. RRF, together with the patient's body mass and peritoneal solute transport rates, determine adequacy of PD given a specific prescription. It is thus pertinent to review the expected rate of RRF loss in PD and in different disease states, its contribution to total solute clearance in clinical series, its equivalency to peritoneal clearances and practical methods for its measurement.

 

Rate of RRF Loss

 

Predictors of RRF Loss in Patients New to Dialysis

 

The Contribution of RRF to Total Solute Clearance

 

Are the Renal and Peritoneal Contributions to Solute and Fluid Removal Equivalent?

 

How Residual Renal Function Influences Survival

 

Measurement of RRF

 

Print  
© 2006-2010, Fresenius Medical Care North America. All Rights Reserved. | Terms Of Use | Privacy Statement | Register | Login