Dialysis Advanced Module

Module Contents

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.

Enterococcal Endocarditis in Hemodialysis Patients

E. faecalis IE management: ampicillin + ceftriaxone synergy, extended-interval daptomycin dosing in ESRD, vascular access preservation (PICC contraindication), tunneled catheter strategies, and neurotoxicity prevention. 24 min read.

Student Guide to Hemodialysis and Peritoneal Dialysis

Foundational review for medical and PA students covering hemodialysis principles, peritoneal dialysis mechanics, vascular access types, dialysis adequacy (Kt/V), common complications, and when to initiate RRT. 21 min read.

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.

Home Dialysis Tools and Resources

Public NxStage dosing tools, manufacturer handbooks, PD references, and a safe workflow for using prescription-support resources. Internal FMC standing orders and staff contacts are intentionally excluded. 6 min read.

CCHT Certification Learning Module

Aligned with the NNCC CCHT exam blueprint. Clinical practice (48-52%), technical practice (28-32%), and professional knowledge (20-24%). Dialysis technician training resource with comprehensive review questions. 19 min read.

Vascular Access Selection in Older Patients — Rethinking "Fistula First"

The evidence critique: the fistula-first survival benefit is largely selection bias (Brown, Quinn, Lyu), the ACCESS-HD trial that could not recruit, the three access options head-to-head, and the ESKD Life-Plan framework for shared decision-making. 20 min read.

Module Contents

Other Phase 3 Modules