What is hemofiltration?

Hemofiltration is a therapy similar to hemodialysis, which is use to replace the function of kidneys in the case of kidney failure. Compared with hemodialysis, hemofiltration is always used in intensive care settings in case of acute renal failure.


What are the functions of hemofiltration?

- Remove the small and middle sized wastes in the blood, such as chemicals, bilirubin and excessive vitamins.

- Eliminate a few of large sized toxins in the blood, such as cytokines and inflammatory mediators.

- Control the inflammations.

What are the side effects of hemofiltration?

- muscle cramps

- itching

- sleep problems

- low or high blood pressure

- fluid overload

- bone disease

- anemia

- Inflammation of the membrane surrounding the heart

- Infection

- High potassium levels

- Depression

- Amyloidosis


What are the features of hemofiltration?

- hemofiltration deals with both micromolecule and mid-molecule toxins in the blood.

- It removes a few of large-molecule waste in the blood.

- Hemofiltration is sometimes used together with hemodialysis.

Dos and donts of hemofiltration

- Increase protein intake decrease potassium, phosphate intake and limit fluids.

- Avoid morphine codeine; reduce doses of SSRIs and avoid vitamin A supplements.

- Monitor potassium levels

- Control BP and lipid levels

- Keep immunizations up to date, particularly in patients who may be candidates for transplantation

- Assess patient for anxiety

- Testing for renal osteodystrophy and follow-up if results abnormal.

- Smoking and alcohol cessation

- Maintenance of healthy weight

- Regular excise