RT Book, Section
A1 Greenberg, Keiko I.
A2 Knicely, Daphne H.
A2 Abdel-Rahman, Emaad M.
A2 Greenberg, Keiko I.
SR Print(0)
ID 1178969514
T1 Water Handling in Home Hemodialysis
T2 Handbook of Home Hemodialysis
YR 2021
FD 2021
PB McGraw Hill
PP New York, NY
SN 9781260458633
LK accessmedicine.mhmedical.com/content.aspx?aid=1178969514
RD 2024/10/15
AB Water  purification  is  crucial  for  hemodialysis  (HD)  as  patients  are  exposed  to  large  amounts  of  water  with  each  treatment.  Conventional  hemodialysis  (CHD)  patients  are  typically  exposed  to  more  than  400  L  of  water  each  week,  while  for  home  hemodialysis  (HHD)  water  exposure  can  vary  from  150  L  to  significantly  more  than  400  L  per  week  depending  on  the  HD  prescription  and  the  dialysis  system.1  There  are  many  substances  that  must  be  removed  from  the  water  supply  to  make  it  safe  for  dialysis.  Water  purification  systems  consist  of  a  series  of  components  that  remove  contaminants  via  different  mechanisms.  Regular  monitoring  of  its  components  and  of  the  product  water  is  essential  for  ensuring  proper  function  of  the  water  system.2  Failure  to  adequately  treat  the  water  supply  can  lead  to  serious  adverse  effects,  including  death.3,4  While  water  standards  are  the  same  for  CHD  and  HHD,  some  of  the  dialysis  systems  used  for  HHD  differ  from  conventional  machines.  Water  treatment  is  reviewed  in  this  chapter  with  a  focus  on  issues  specific  to  HHD.