How to Adjust the Sodium Concentration in Dialysate Individually and Practically?
نویسندگان
چکیده
The optimal dialysate sodium concentration for chronic hemodialysis patients remains controversial. Conflicting data from small observational studies and large cohort study have not convinced nephrologists to choose either a high or low dialysate. Despite lack of evidence, I would prescribe individualized concentrations with risk hypertension volume overload, aligning the patients’ predialysis serum level. usually be 0–2 mEq/L below patient’s concentration. believe that this strategy help improve hypertension, intradialytic weight gain, cardiac outcomes, deliver precision medicine.
منابع مشابه
Effect of Dialysate Sodium Concentration on Sodium Gradient and Hemodialysis Parameters
This retrospective study was performed to determine the ranges of the sodium gradient (SG) between the dialysate sodium concentration (DNa) and serum sodium concentration (SNa) in hemodialysis (HD) patients and to examine the relationships between HD parameters over a 1 year period. Fifty-five clinically stable HD patients, who had been on HD >2 years were enrolled. Monthly HD [ultrafiltration ...
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ژورنال
عنوان ژورنال: Kidney and dialysis
سال: 2021
ISSN: ['2673-8236']
DOI: https://doi.org/10.3390/kidneydial1020023