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Water - Such a simple thing but but plays a major role in our lives.

Water if not clean can make you very very sick.

However, for Kidney Failure patients who are on Hemodialysis water plays another major important role.

On one hand Kidney Failure patients have to restrict water intake based on their residual kidney function and capacity to remove extra fluid from body.

On other hand a lot of Water is used in the Hemodialysis procedure.

In today's podcast we will talk about the importance of quality of water used in Hemodialysis.

So to draw comparison and to explain the kind of exposure Dialysis patients have with Water lets understand the volume of water we get exposed

A normal healthy human - 5-6 liters per day i.e. 24 hours | (Acceptable TDS limits - Upto 100-200)

A hemodialysis patient - 120 - 192 liters in a 4 hour hemodialysis session (Acceptable TDS limits - less then 10, but strict compliance to AAMI/EU/ISN guidelines)

There are Water purification or treatment plants specifically designed for filtering water to a level where it can be used for Hemodialysis.

There are very stringent international guidelines which are now being adopted in India as well where specific parameters are provided on which filtered water has to qualify. Association for the Advancement of Medical Instrumentation (AAMI) and the European Best Practice Guidelines (EBPG) are two such guidelines. ISO standards, Indian Society of Nephrology - Guidelines

These guidelines define the acceptable limits for various contaminants, including bacteria, endotoxins, chemical impurities, and water conductivity.

In my experience Very few Dialysis centers regularly test their water sources, dialysis machines, and dialysate to ensure compliance with these standards.

As a patient, you shall be aware of these facts and you may also ask your dialysis clinic or dialysis provider to show the water testing report which can provide you details of the quality of water which is being used in your dialysis.

Any compromise in the water quality may lead to health issues and in extreme conditions be fatal for patient's life.

Woh kehte hain na ... JAL HI JEEVAN HAI. To jagrook rahiyee aur apne dialysis program me sacchee partner aur bhagidaar baniyee.

https://www.kidneysupportnetwork.com/