Maintenance Hemodialysis Module (New)
25 decision-sized evidence reviews in seven tracks — dialysate potassium, sodium, calcium and buffer; dry weight, ultrafiltration rate, and intradialytic hypotension; blood pressure; monitoring, vaccines, and anemia; nutrition, fish oil, and atrial fibrillation; fistula, graft, and catheter care; missed treatments and social needs — with 23 printable dialysis nursing reference cards.
Kidney Replacement Therapy
IDEAL trial and symptom-based initiation, lead time bias, peritoneal dialysis (CAPD, APD, tidal), PET transport classification, hemodialysis circuit design, post-dialysis potassium rebound, vascular access comparison, and Kt/V adequacy measurement.
High-Volume Hemodiafiltration
Five landmark RCTs (CONTRAST through CONVINCE), 23–37% mortality reduction, convection volume calculations with clinical examples, 5-week implementation protocol, troubleshooting algorithms, medication dosing adjustments, and US FDA status.
Home Hemodialysis with NxStage
Physician-level white paper on low-volume dialysate, prescription design, flow fraction, bath selection, monitoring, vascular access, and evidence-based assessment. Includes 53 PubMed references and a worked starting prescription. 32 min read.
Screening and Health Maintenance in Maintenance Hemodialysis
What routine care actually looks like on dialysis â statins, why HbA1c is unreliable, CKD-MBD monitoring intervals, hepatitis B and C surveillance, thyroid testing, cancer screening, and acquired cystic disease with RCC surveillance.