Hemodialysis Simulator
The hemodialysis simulator offers training on the fundamentals of initiating and managing a child on hemodialysis, including setting up a circuit, selecting a prescription, monitoring a patient, assessing laboratory values, and managing clinical complications.
2.5 hours
Initial Publication: March 2017
Citation
Stein D, Littman A, McCulloch M, Su S, Wolbrink TA. Hemodialysis Simulator. 3/2017. Online Interactive Simulator. OPENPediatrics. https://learn.openpediatrics.org/learn/course/2966/hemodialysis-simulator.

Audience
Physicians
Nurses
Other healthcare providers who care for patients receiving hemodialysis
Learning Objectives
Explain key basic science-based definitions (i.e. dialysis, osmosis, diffusion, convection).
Describe concepts that influence HD delivery, and apply these to management of HD clinically (i.e. indications and contraindications, ultrafiltration, clearance, catheter specifications and infection control).
Identify the appropriate circuit set-up for a given patient starting HD based on the patient’s needs.
Discuss and manipulate various components of a HD prescription in response to different patient scenarios, including as a given patient’s needs change over time.
Apply a systematic approach to evaluating each patient, including physical exam, vital signs, laboratory and fluid balance results evaluation, and assessment of the HD set-up.
Recognize and respond to physical exam, vital signs, laboratory results, fluid balance results, and technical aspects of the HD set-up, including diagnostic testing and management.
Understand when to deliver, and when to avoid, common medications used with HD (i.e. thrombolytics, IV antibiotics and sedation).
Recognize and manage key common patient-specific complications (i.e. hypotension, bleeding, disequilibrium syndrome, infection).
Recognize and manage key common electrolyte abnormalities (i.e. hyperkalemia, hypokalemia).
Recognize and manage key common mechanical complications (i.e. circuit clotting, catheter malfunction).
Author(s)
Deborah Stein, MD
Attending, Division of Nephrology
Boston Children's Hospital
Annalise Littman, BS
Medical Student
Emory University School of Medicine
Mignon McCulloch, MD
Associate Professor and Pediatric Nephrologist
Red Cross Children's Hospital
Sharon W. Su, MD
Medical Director, Randall Children's Nephrology
Legacy Emanuel Medical Center
Traci Wolbrink, MD, MPH
Senior Associate, Critical Care Medicine
Boston Children's Hospital
Animations and Illustrations
Brittanie Marques, BFA
Sr. Medical Illustrator and Animator, OPENPediatrics
Boston Children's Hospital
