MAT

Question 1

What are the dialysis/volume status standards?

Answer 1

Euvolemic and pre-BP <140/90
Post-BP <130-80 (adult)
Lower of 90% of normal for age/ht/wt or < 130/80 (pediatric)
Avoid UFR >/= 13 mL/kg/hr

Question 2

What is the HD adequacy standard?

Answer 2

> /= 1.2 kt/v, URR >/= 65
Measured monthly

Question 3

What is the PD adequacy standard for adults?

Answer 3

> /= 1.7 kt/v
Measure 1st month and q 4 months afterward

Question 4

What is the PD adequacy standard for pediatrics

Answer 4

> /= 1.8 kt/v
Measure 1st month and q 6 months afterward

Question 5

What are the nutritional status standards for adults?

Answer 5

Albumin >/= 4.0 g/dL BCG preferred
%UBW, %standard weight, BMI, est % total body fat
Monitor monthly and as needed

Question 6

What are the nutritional status standards for pediatrics?

Answer 6

Length/ht-for-age% or SD
Dry wt and wt-for-age % or SD
BMI-for-ht/age% or SD
Head circumference for age % or SD
nPCR
Monitor monthly

Question 7

What are the mineral metabolism and renal bone disease standards?

Answer 7

Calcium unadjusted <10.2 mg/dL 3 month rolling avg (q month)
Phos 3.5-5.5 mg/dL (q month)
PTH no standard ranges (q 3 months)

Question 8

What are the anemia standards for pts not on ESA therapy?

Answer 8

No safe UL established

Question 9

What are the anemia standards for pts not on ESA therapy (adult and pediatric)?

Answer 9

No safe UL established

Question 10

What are the anemia standards for pts on ESA therapy (adult and pediatric)?

Answer 10

Initiate ESA hgb <10 mg/dL
Interrupt or decrease dose near or > 11 mg/dL
Give lowest dose of ESA to avoid transfusion especially in transplant candidates
Consider pt preference

Question 11

What are the iron store standards for adults and pediatrics?

Answer 11

Monitor TSAT and Ferritin routinely
>20% TSAT (HD/PD)
>200 ng/mL (HD), >100 ng/mL (PD)
< 500 ng/dL or evaluate if needed