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Ultrafiltration with peritoneal dialysis

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Peritoneal dialysis

Abstract

There is a clinical requirement to remove excess body water and its attendant electrolytes on a regular basis from patients with end-stage renal failure. For patients treated with peritoneal dialysis this is accomplished osmotically rather than hydrostatically as is the common practice with hemodialysis [1–3]. To date, glucose is the only agent that has been accepted clinically for regulating the osmolality of peritoneal dialysis fluid for this purpose. The problem of overloading the patient with carbohydrate calories is significant in patients under treatment with CAPD. As a result other osmotically active agents will undoubtedly be tested and applied clinically in the next few years. The present discussion will focus on glucose and its use as a driving force for ultrafiltration across the peritoneal membrane with the expectation that most of the principles developed for this solute will apply equally to other solutes that may be utilized.

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Authors
  1. Lee Henderson
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Editor information

Editors and Affiliations

  1. Division of Nephrology, University of Missouri Health Sciences Center, VA Hospital, and Dalton Research Center, Columbia, Missouri, USA

    Karl D. Nolph M.D.

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© 1985 Springer Science+Business Media Dordrecht

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Henderson, L. (1985). Ultrafiltration with peritoneal dialysis. In: Nolph, K.D. (eds) Peritoneal dialysis. Springer, Dordrecht. https://doi.org/10.1007/978-94-017-2560-6_6

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  • DOI: https://doi.org/10.1007/978-94-017-2560-6_6

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-017-2562-0

  • Online ISBN: 978-94-017-2560-6

  • eBook Packages: Springer Book Archive

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