Water treatment for hemodialysis

  • P. Keshaviah
Part of the Developments in Nephrology book series (DINE, volume 39)


According to an Italian proverb “Aqua torbido non lava” i.e. “Dirty water does not wash clean”. This can be most aptly applied to the water used for hemodialysis. If the water used for hemodialysis is “dirty”, the blood of the hemodialysis patient will not be “washed clean”. The hemodialysis patient is exposed to more water in one year than the normal population in 20 years. Further, the hemodialysis patient’s blood is exposed to this large quantity of water across a thin non-selective membrane that has none of the “wisdom” of the gastrointestinal tract of a normal individual. Also, the hemodialysis patient’s ability to excrete harmful toxins from such exposure is limited by compromised renal function. The combination of large volume of exposure, non-selective transport across the dialyzer membrane, and compromised renal function make for a situation that is potentially hazardous to the health and well-being of the patient on hemodialysis. Unless the water used for hemodialysis is analyzed periodically and subjected to appropriate treatment processes whose efficacy is monitored regularly, there may be serious risks to patient well-being that have been well documented in the dialysis literature.


Product Water Reverse Osmosis Feed Water Free Chlorine Water Treatment Process 
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© Kluwer Academic Publishers 1999

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  • P. Keshaviah

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