Sodium Dialysate Prescription in a New Dialysis Facility

As the Medical Director of this new dialysis facility, I recommend a fixed sodium dialysate (Nadial) concentration at 138 mEq/L. This relates to my former experience in Tassin unit France and fear as powerful uremic toxin. realize that, according Na+ set-point theory, value Nadial may create plasma–dialysate (P–D) gradient favor intradialytic plasma changes. In cases where is associated with signs negative balance (bad session tolerance/quality life) or positive (high interdialytic weight gain high blood pressure), individualization reduce P–D change be useful, even though evidence remains scarce. look forward possibility using machines that allow for evaluation tailoring diffusion process.