Co-Current and Counter-Current Exchange in Dialysis Steven A. Jones BIEN 501 Monday, May 5, 2008 Louisiana Tech University Ruston, LA 71272 Slide 1 Co-Current Exchange M b z M b z dz Qb dM z Qd M d z M d z dz Conservation of Mass dM M d z dz M d z Qd Cd z dz Cd z Qd dCd Membrane Diffusion: Louisiana Tech University Ruston, LA 71272 dM k0 CB CD dAm Slide 2 Different Notation I personally do not find the notation dM to be completely intuitive. For me, a better way is to talk about the mass flux per unit area along the z-direction. The conservation of mass then becomes: b z dz m b z m Qb M z Qd mb dzW Cb z Cb z dz Qb Louisiana Tech University Ruston, LA 71272 Slide 3 Definitions Variable Definition Qb Flow rate of blood m Mass flux per unit area of membrane from blood to dialysate Concentration of the solute in the blood Cb Cd Concentration of the solute in the dialysate W Width of the membrane h Height of the membrane Louisiana Tech University Ruston, LA 71272 Slide 4 The Differential Equation With: mdzW Cb z Cb z dz Qb Divide through by dz 1 Cb z Cb z dz m Qb W dz Take the limit as dz goes to 0. 1 dCb z m Qb W dz Louisiana Tech University Ruston, LA 71272 Slide 5 Interpretation Consider: mb dCb z dz 1 Qb W This equation has the simple interpretation that concentration decreases along the length of the membrane as a result of mass loss through the membrane. Because it uses welldefined derivatives, its meaning is much more clear than the equation in the book: dM Qb dCb Louisiana Tech University Ruston, LA 71272 Slide 6 Dialysate Side, Mass Conservation On the dialysate side, the amount of mass coming in is equal to the amount of mass leaving the blood. Thus, 1 dCb z 1 dCd z m Qb , m Qd W dz W dz And these two equations can be combined to obtain: 1 dCb z 1 dCd z m Qb Qd W dz W dz dCd z dCb z Qd Qb dz dz Louisiana Tech University Ruston, LA 71272 Slide 7 The Two Basic Equations Conservation of Mass is then: Qb dCb m W dz And Membrane Diffusion is: m k0 Cb Cd k0C z Where: C z Cb z Cd z Louisiana Tech University Ruston, LA 71272 Slide 8 Compare to the Book’s Notation A comparison of our membrane equation: To the equation in the book: k0 Cb Cd m dM k0 Cb Cd dAm Clarifies what the book means by dM and dAm , for if we divide by dAm: dM k0 Cb Cd dAm dA m is the rate of change of total mass Thus, dM m flux with membrane area, and it is equivalent to the mass flux per unit area as we have defined it. Louisiana Tech University Ruston, LA 71272 Slide 9 Combine the Two Equations dCb m Qb h dz k0 Cb Cd k0 C m dCb dCd Qb k0W Cb Cd , Qd k0W Cb Cd dz dz Blood Side Dialysate Side Divide the blood side by Qbh and divide the dialysate side by Qdh dCb k0W Cb Cd dCd k0W Cb Cd , dz Qb dz Qd Louisiana Tech University Ruston, LA 71272 Slide 10 Subtract With: dCb k0W Cb Cd dCd k0W Cb Cd , dz Qb dz Qd dCb dCd k0W Cb Cd k0W Cb Cd dz dz Qb Qd 1 d C 1 k0W C dz Qb Qd So: 1 d C 1 k0W C 0 dz Qb Qd Louisiana Tech University Ruston, LA 71272 Slide 11 Combine the Two Equations k0W C C0 exp Q From z We need to determine the transport across the membrane. We will integrate the equation below with respect to z: L M mWdz 0 M L 0 L 0 dAm k0 C dz dz dAm dAm k0 C dz M k0 dz dz Louisiana Tech University Ruston, LA 71272 L 0 k0W C0 exp Q z dz Slide 12 Combine the Two Equations dAm M k0 dz C0 M Qd Louisiana Tech University Ruston, LA 71272 L 0 k0W C0 exp Qd z dz k0W L 1 exp Qd Slide 13 Eq. 7.8.10 In our notation, the book’s equation is: C 0 C L M k 0 Am C 0 ln C L Louisiana Tech University Ruston, LA 71272 Slide 14 Compare Co- and Counter-Current Co-Current Counter-Current C0 1 1 k0 Am ln CL QD QB C0 1 1 k0 Am ln CL QB QD The concentration differences (inlet vs. outlet) are closer to one another for counter-current exchange. What about the net mass transfer? Louisiana Tech University Ruston, LA 71272 Slide 15 Total Mass Transfer From Equations 7.8.1 and 7.8.2: L dC dCd dM d Qd M Qd dz Qd Cd L Cd 0 0 dz dz dz And similarly: M QB CB L CB 0 M QB CB L CB 0 Louisiana Tech University Ruston, LA 71272 Note sign change. M QD CD L CD 0 Slide 16 Total Mass Transfer Combine to eliminate flow rates (co-exchange): C0 1 1 k0 Am ln CL QD QB C0 1 1 ln k0 Am M M C L C D L C D 0 C B L C B 0 Louisiana Tech University Ruston, LA 71272 Slide 17 Total Mass Transfer C0 CD L CD 0 CB L CB 0 k0 Am ln M M CL C 0 C L M k0 Am ln C0 C L Louisiana Tech University Ruston, LA 71272 Slide 18 Total Mass Transfer Combine to eliminate flow rates (counter-exchange): C0 1 1 k0 Am ln CL QB QD C0 1 1 ln k0 Am M M C L C B L C B 0 C D L C D 0 Louisiana Tech University Ruston, LA 71272 Slide 19 Total Mass Transfer C0 CB L CB 0 CD L CD 0 k0 Am ln M M CL C 0...L C 0...L M k0 Am C0 ln C Sort of a cross L difference w.r.t 0 and L. Louisiana Tech University Ruston, LA 71272 Slide 20 Look at the Plots Look at CB 0 CD L and CB L CD 0 z=0 Louisiana Tech University Ruston, LA 71272 z=L z=0 z=L Slide 21 Clearance (K) M K C B ,in C D ,in Louisiana Tech University Ruston, LA 71272 Slide 22 Efficiency K E QB Co-current Counter-current Where QB Z , QD Louisiana Tech University Ruston, LA 71272 1 1 exp FR1 Z E 1 Z 1 exp FR1 Z E Z exp FR1 Z k0 Am FR QB Are the same for coand counter-current. Slide 23 Questions 1 1 exp FR1 Z E 1 Z Co-current 1 exp FR1 Z E Z exp FR1 Z Counter-current Where QB Z , QD k0 Am FR QB What do these functions look like? If QB = QD, do you get infinite efficiency? For what value of Z is E a maximum? Louisiana Tech University Ruston, LA 71272 Slide 24 Efficiency as a function of Z 1 Counter-flow 1 0.8 Counter-flow Co-flow Co-flow 0.8 0.6 FR = 3 E 0.6 E 0.4 FR = 3 0.2 0.4 0 0 2 4 0.2 6 8 10 Z 0 0 2 4 6 8 10 Z Louisiana Tech University Ruston, LA 71272 Slide 25 Question Does it help to have a large QD? Louisiana Tech University Ruston, LA 71272 Slide 26 Counter-Current Exchange M b z M b z dz dM z M d z M d z dz Conservation of Mass dM M d z dz M d z Qd Cd z dz Cd z Qd dCd L dC dCd dM d Qd M Qd dz Qd Cd L Cd 0 0 dz dz dz Louisiana Tech University Ruston, LA 71272 Slide 27 Compare Co- and Counter-Current Co-Current Counter-Current Louisiana Tech University Ruston, LA 71272 C 0 C L M k 0 Am C 0 ln C L C 0 C L M k 0 Am C 0 ln C L Slide 28 Integrate w.r.t. z dM dC Qd dz dz dAm dM k0 C dz dz Louisiana Tech University Ruston, LA 71272 Slide 29