Hemodialysis/Hemoperfusion

See also: dialysis complications

Background

• Reserved for toxins that are both life-threatening and amenable to removal by this method
• Ineffective for toxins that have large Vd, large molecular weight, or protein bound

Indications

• Acidosis
• Hyperkalemia
• Hyponatremia
• Fluid overload
• Uremia
• Overdoses of the following:
  • Salicylates
  • Methanol
  • Ethylene glycol
  • Lithium
  • Theophylline
  • Carbamazepine
  • Amanita mushrooms

Dialyzable drugs

For complete list, see dialyzable drugs

• B - Barbiturates
• L - Lithium
• I - Isoniazid
• S - Salicylates
• T - Theophyline/Caffeine (both are methylxanthines)
• M - Methanol, metformin
• E - Ethylene glycol
• D - Depakote
• Others - Carbamezepine

See Also

• Dialysis catheter placement
• Dialysis complications