What can compromise the adequacy of dialysis treatment?

Inadequate heparinization can compromise the adequacy of dialysis treatment because heparin is an anticoagulant that prevents blood clotting in the dialysis circuit. If the patient is not adequately heparinized, blood clots can form in the tubing or the dialysis machine, which can impede the flow of blood and reduce the effectiveness of the dialysis process. This could lead to inadequate clearance of toxins and waste products from the blood, meaning the patient won't receive the full benefit of the dialysis treatment.

Ensuring proper heparin dosing is crucial in maintaining a smooth and effective dialysis session. Other factors such as fluid intake or duration of dialysis can also play a role in treatment effectiveness, but inadequate heparinization directly affects the mechanical function of the dialysis system, making it a foundational concern for ensuring treatment adequacy.