Renal Services

Chronic Haemodialysis Clinical

Guidelines
Guidelines to assist nursing staff with making appropriate decisions in which markers are
significant & actions to take.
These guidelines have been endorsed by Dr Louis Huang Nephrologists In Change Of Satellite
At &
Over

Actions

Normal

Sodium

136

146

Please notify Louis Huang or Renal Registrar

mmol/L (136146)

Potassium

3.5

6.5

Please notify Louis Huang or Renal Registrar

mmol/L (3.5-5.0)

Chloride

95

110

Please notify Louis Huang or Renal Registrar

mmol/L (95-110)

Bicarbonate

20

24

Please notify Louis Huang or Renal Registrar

mmol/L (22-31)

Urea

35

Assess URR & discuss with NUM.

mmol/L (3.010.0)

Albumin

25

Assess nutrition or inflammation.

g/L

Calcium

1.9

2.6

Ignore and review Corrected Calcium.

Corrected
Calcium

1.9

2.6

Please notify Louis Huang or Renal Registrar

Phosphate

0.8

2.0

If Phosphate >2.0 check compliance,

dietician review.

Magnesium

0.6

1.10

CRP

20

Haemoglobin

90

125

WCC

12

Platelets

150

450

Please notify Louis Huang or Renal Registrar

PTH

15

75

Please notify Louis Huang or Renal Registrar

IDBW at end of
Treatment

2.0 Kg

Systolic BP

180

Diastolic BP

90

Pulse

50

120

Please notify Louis Huang or Renal Registrar

Respiration

10

30

Please notify Louis Huang or Renal Registrar

SaO2

90 %

Please notify Louis Huang or Renal Registrar

Temperature

35

37.5

Please notify Louis Huang or Renal Registrar

URR

50

URR less that 50% contact Louis Huang or Renal Registrar

Blood flow rate

200

If BFR < 200 mls/min contact Louis Huang or Renal Registrar

Pre Dialysis Pathology

At &
Under

Please notify Louis Huang or Renal Registrar

Check for inflammation/infection
Please notify Louis Huang or Renal Registrar
Check for infection

(36-48)

mmol/L (2.152.65)
mmol/L (2.152.65)
mmol/L (0.8-1.4)
mmol/L (0.601.10
0.0-10.0
g/dL 13.0-18.0
x10 ^9 /L 4.011.0
x10 ^9 /L 150450
pmol/L 1.5-7.6

If IDBW > 2.0L contact Louis Huang or Renal Registrar

Please notify Louis Huang or Renal Registrar
Please notify Louis Huang, Renal Registrar or NUM to explore
decreasing weight, UF might be needed.

References:
Renal DP CC2.2.1 - Chronic Haemodialysis for Renal Replacement Therapy (RRT)
Renal DP-CC2.2.7 -Measurement of Urea Reduction Ratio (URR)
OP-CC2.1.22 - Clinical Markers - Criteria for Calling Medical Staff and/or Intensive
Care Unit Liaison Service
OP-PS1.2.28 Renal Anaemia Management.