PD Prescription Quick Reference Guide

ADEQUACY AND ULTRAFILTRATION GOALS

• The minimum delivered weekly Kt/V_urea of 1.7 represents peritoneal clearance alone or peritoneal plus renal clearance¹
• While the Kidney Disease Outcomes Quality Initiative (KDOQI) guidelines do not recommend use of creatinine clearance to assess adequacy, creatinine clearance goals of 45 L/wk in APD patients are advocated by the International Society of Peritoneal Dialysis (ISPD) and other organizations^1-6
• Euvolemia is critical to improve patient outcomes¹
• While no recommendation regarding an ultrafiltration (UF) target exists in the United States, other countries recommend an arbitrary UF target of 750–1000 mL/day in anuric patients, based upon improved outcomes in observational studies^{4, 5, 7}