HOW MUCH FLUID TO REMOVE
WITH DIALYSIS TREATMENTS

programmed by Stephen Z Fadem

INPUT TARGET WEIGHT REMOVAL IN KG

CC/kg/hr (0-13)

WEIGHT in KG

HOURS

xxx

xxx

xxx

xxx

xxx

xxx

It has been shown that the maximum amount of fluid removal during dialysis should be less than 13 cc/kg/hr to avoid risk, but that even at 10cc/kg/hr heart failure symptoms start to develop. Removing more than this is associated with increased mortality. Therefore, dry weight should be accurately assessed and monitored frequently. Patients should be counseled on salt intake, and the bath sodium should not be greater than 138 mEq/L. Patients should be advised to gain less than 2 kg between treatments. An alternative to fluid removal greater than 13/cc/kg/hr is to extend treatment time or to bring the patient back the following day for an additional treatment.