Dialysis Adequacy — ESENeph MCQ
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Correct answer: C — ≥1.2 (minimum 1.2 per session)
UKKA (UK Kidney Association) haemodialysis guideline recommends a minimum delivered spKt/V of 1.2 per session for thrice-weekly haemodialysis. The patient's spKt/V of 1.0 is subtherapeutic, which likely contributes to her elevated pre-dialysis solute levels. Dialysis prescription should be optimised by increasing session duration, blood flow rate, or dialyser size.
Reference: UK Kidney Association 2019 – Haemodialysis Guideline