Impact of treatment and monitoring of water quality in hemodialysis therapy

Chronic Kidney Disease (CKD) is caused by kidney damage, which causes a loss of function. In the most advanced form, it generates to the patient the need for renal replacement therapies, such as hemodialysis (HD). One of the HD quality indicators is water quality. This study's objective was to demonstrate, discuss, and synthesize the importance of monitoring HD water treatment and verify the incidents of adverse events caused by contaminants. The literature review carried out using articles in Portuguese, published in the last 20 years, fit the study's theme, taken from the electronic databases: LILACS, SciELO, Redalyc, and official websites of the Ministry of Health. Health descriptors were used: hemodialysis, monitoring of Water, and Reverse Osmosis. Dialysis water has organoleptic properties that must be evaluated daily to ensure that it is free of contaminants that may cause adverse reactions to patients. The monitoring of HD water treatment must be used strictly to obtain greater efficiency in the treatment. Therefore, monitoring is essential to guarantee HD treatment, requiring specific care, avoiding organic and inorganic complications that can cause loss of effectiveness.