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Edited by
John T. Daugirdas, MD, FACP, FASN
Clinical Professor of Medicine
University of Illinois at Chicago
Chicago, Illinois
Peter G. Blake, MB, FRCPC, FRCPI
Professor of Medicine
Western University
London, Ontario, Canada
Todd S. Ing, MBBS, FRCP
Professor Emeritus of Medicine
Loyola University Chicago
Maywood, Illinois
Acquisitions Editor: Julie Goolsby
Product Development Editor: Leanne Vandetty
Editorial Assistant: Brian Convery
Production Project Manager: Bridgett Dougherty
Design Coordinator: Holly Reid McLaughlin
Manufacturing Coordinator: Beth Welsh
Prepress Vendor: S4Carlisle Publishing Services
Fifth Edition
Copyright 2015 Wolters Kluwer Health
Copyright 2007 Lippincott Williams & Wilkins, a Wolters Kluwer business. Copyright 2001 Lippincott Williams & Wilkins. Copyright 1994, 1988 by J. B. Lippincott. All rights reserved. This book is protected by copyright. No part of this book may be reproduced or transmitted in any form or by any means, including as photocopies or scanned-in or other electronic copies, or utilized by any information storage and retrieval system without written permission from the copyright owner, except for brief quotations embodied in critical articles and reviews. Materials appearing in this book prepared by individuals as part of their official duties as U.S. government employees are not covered by the above-mentioned copyright. To request permission, please contact Wolters Kluwer Health at Two Commerce Square, 2001 Market Street, Philadelphia, PA 19103, via email at (products and services).
9 8 7 6 5 4 3 2 1
Library of Congress Cataloging-in-Publication Data
Handbook of dialysis / [edited by] John T. Daugirdas, Peter G. Blake, Todd S. Ing. Fifth edition.
p. ; cm.
Includes bibliographical references and index.
ISBN 978-1-4511-4429-1 (paperback)
eISBN 978-1-4698-3086-5
I. Daugirdas, John T., editor. II. Blake, Peter Gerard, 1956- , editor. III. Ing, Todd S., editor.
[DNLM: 1. Renal DialysisHandbooks. WJ 39]
RC901.7.H45
617.461059dc23
2014029014
Care has been taken to confirm the accuracy of the information presented and to describe generally accepted practices. However, the author(s), editors, and publisher are not responsible for errors or omissions or for any consequences from application of the information in this book and make no warranty, expressed or implied, with respect to the currency, completeness, or accuracy of the contents of the publication. Application of this information in a particular situation remains the professional responsibility of the practitioner; the clinical treatments described and recommended may not be considered absolute and universal recommendations.
The author(s), editors, and publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accordance with the current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any change in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new or infrequently employed drug.
Some drugs and medical devices presented in this publication have Food and Drug Administration (FDA) clearance for limited use in restricted research settings. It is the responsibility of the health care provider to ascertain the FDA status of each drug or device planned for use in his or her clinical practice.
LWW.com
To Stanislovas Maciulis, MDa beloved
grandfather never met who continues
to guide and inspire.
(JTD)
To my wife Rose and to my sons, Matthew
and Andrewthe three most important
people in my life.
(PB)
To Oliver M. Wrong, MD, FRCP,
my exemplary mentor.
(TSI)
Anil K. Agarwal, MD, FASN, FACP
Professor of Medicine
Ohio State University
Columbus, Ohio
Suhail Ahmad, MD
Professor of Medicine
University of Washington
Seattle, Washington
Michael Allon, MD
Professor of Medicine
University of Alabama at Birmingham
Birmingham, Alabama
Arif Asif, MD, FASN
Professor of Medicine
Albany Medical College
Albany, New York
Andr Luis Balbi, MD
Assistant Professor of Medicine
So Paulo State UniversityUNESP
Botucatu, So Paulo, Brazil
Joanne M. Bargman, MD, FRCPC
Professor of Medicine
University of Toronto
Toronto, Ontario, Canada
Susan E. Bentley RD, MBA
Fresenius Medical Care
Waltham, Massachusetts
Peter G. Blake, MB, FRCPC, FRCPI
Professor of Medicine
Western University
London, Ontario, Canada
Neil Boudville, MBBS, FRACP
Senior Lecturer in Renal Medicine
University of Western Australia
Crawley, Australia
Sudhir K. Bowry, PhD
Fresenius Medical Care
Bad Homburg, Germany
Deborah Brouwer-Maier, RN, CNN
Director of Dialysis Access Initiatives
Fresenius Medical Services
Philadelphia, Pennsylvania
Bernard Canaud, MD, PhD
Emeritus Professor of Nephrology
Montpellier University I
Montpellier, France
Ralph J. Caruana, MD, MBA
Professor of Medicine
University of Central Florida
Orlando, Florida
Elliot Michael Charen, MD
Instructor in Medicine
Icahn School of Medicine at Mount Sinai
New York, New York
Horng Ruey Chua, MMed, MRCP
Assistant Professor of Medicine
National University of Singapore
Republic of Singapore
Scott D. Cohen, MD, MPH, FASN
Associate Professor of Medicine
George Washington University
Washington, District of Columbia
Daniel W. Coyne, MD
Professor of Medicine
Washington University
St. Louis, Missouri
John H. Crabtree, MD, FACS
Visiting Clinical Faculty
Harbor-University of California
Los Angeles Medical Center
Torrance, California
Daniel Cukor, PhD
Associate Professor of Psychiatry
SUNY Downstate Medical Center
Brooklyn, New York
John T. Daugirdas, MD, FACP, FASN
Clinical Professor of Medicine
University of Illinois at Chicago
Chicago, Illinois
Andrew Davenport, MA, MD, FRCP
Reader in Medicine and Nephrology
University College of London
London, United Kingdom
James A. Delmez, MD
Professor of Medicine
Washington University
St. Louis, Missouri
Sevag Demirjian, MD
Assistant Professor of Medicine
Cleveland Clinic Lerner College of Medicine
Cleveland, Ohio
Peter B. DeOreo, MD, FACP
Clinical Professor of Medicine
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