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#dialysis

2 public questions tagged with this topic.

In dialysis, what happens when a hypertonic solution is used?

Dialysis demonstrations use cellophane or cellulose acetate bags with pore diameters permitting water and small molecules under few nanometers while excluding colloids like starch or proteins. When bag containing dilute salt or dye solution is immersed into beaker with concentrated solution hypertonic relative to bag contents, solute concentration inside lower than outside, water potential inside higher. Water activity gradient drives net efflux from interior to exterior attempting to equalize potentials and dilute outer compartment. Membrane remains impermeable to large solutes, so water move

Ref: Lodish et al., Molecular Cell Biology, Chapter: Dialysis and Osmotic Water Movement from Bags.

In dialysis, which force allows waste removal?

Artificial kidney or dialysis device replaces glomerular filtration by exploiting physical principles of diffusion across synthetic semipermeable membranes. Blood pumped through thousands of hollow fibers with wall pore size cut off around 10 kilodaltons separates from dialysate fluid flowing countercurrently. Small metabolic wastes urea 60 daltons, creatinine 113 daltons and electrolytes potassium accumulate at higher concentration in plasma than dialysate creating concentration gradient. According to Fick's first law diffusive flux proportional to concentration difference times membrane perm

Ref: Guyton and Hall, Textbook of Medical Physiology, Chapter: Dialysis Principles - Diffusion of Wastes.