Similarly, calcium, bicarbonate, albumin and various trace elements such as manganese, selenium or zinc are not modified as they pass through the resin.25 Adsorption is a physicochemical phenomenon that involves the interaction of a molecule with the resin surface through hydrophobic, electrostatic or ionic attractions.54 Although no theory for predicting adsorption has been universally accepted, there are several factors that influence the adsorptive capacity of the resin, such as the packing density of the adsorbent, the length and inner diameter of the cartridge, or the distance between the granules, the discussion of this features are beyond the scope of this manuscript, and have recently been reviewed.7,55 However, for the clinician it is of interest to understand that the final kinetics of adsorptive transport depends on the initial solute concentration and, especially, the ultrafiltrate flux (QUF) through the cartridge
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