Quote from traumaRUs
Nowadays, the UF formula our practice uses (as do many others) is no more than 13ml/kg/hour of fluid removal. There have been several articles about sudden cardiac death while on dialysis. If you have ever had this happen (and I have), it is a scary bad deal and you don't get a second chance.
Extra treatments sound good in theory, but dialysis units have to have space and that is not always the case.
Based on your contributions and my further reading, we have also implemented this practice in our renal unit. Before our policy was a maximum UF rate of 1000mL/hr, but now we follow the 13mL/kg/hour guideline.
If there's still more fluid that needs to be pulled off, we schedule the patients on extra treatment the next day.