FACTOR

RECOMMENDATIONS

ANEMIA

10 - 11 gr/Dl - Requires An Increase In Erythropoietin Dose Of 50% - 100%

IRON SATURATION

Maintain Intravenous Iron With A Saturation > 30% - Administer In Small Doses

FOLIC ACID

1 mg/Day

HYPERTENSION/ HEMODYNAMICS

Avoiding Maternal Hypotension Or Volume Depletion Requires Close And Clinical Follow-Up During The Second And Third Trimesters.

DIALYSIS PRESCRIPTION

Biocompatible Dialyzer - Single Use

Avoid Metabolic Alkalosis 25 Meq HCO₃

Avoid Hypokalemia Use 3 - 4 Meq Of Potassium

Add Phosphorus To The Dialysate To Maintain Phosphorus 4 - 5 Mg/Dl

BUN PREDIALYSIS

Maintain Levels Below 45 - 50 Mg/Dl

TREATMENT FREQUENCY

5 - 6 Times Per Week - Daily Nocturnal Hemodialysis With Hemodiafiltration If Possible

NUTRITION

CONSUMPTION PROTEINS

1.5 G/Kg/Day In Hemodialysis - 1.8 G/Kg/Day In Peritoneal Dialysis

CONSUMPTION CALORIES

30 - 35 Kcal/Kg/Day

CALCIUM

1500 Mg/Day Usually Achieved With 2.5 meq/L Dialysed Calcium -Measured And Supplemented With 25 OH Vitamin D Every Trimester

MATCH

Oral Or Could Be Added To Dialysate

VITAMINS

Vitamin C - Thiamine - Riboflavin - Niacin - Vitamin B6-Folate

OBSTETRIC/FETAL MONITORING

Stress-Free Test, Ultrasound, Labor Termination And Neonatal Care