What Is the Optimal Sodium Concentration in the Dialysate?

Based on our experience in hemodiafiltration unit we would recommend a personalized isonatremic dialysate bath. We currently prescribe 137 meq (isonatremic) or delta Na/serum Na less than 2 meq. In addition to the sodium prescribed dialysate, for majority of patients do not restrict dietary water intake. The average intake is 2775 mg per day and blood pressure maintained without hypertensive medications. acknowledge that part success achieving dry weight may be attributable only but likely result combination multiple factors such as convection therapy, cooling close monitoring volume status during sessions with relative volume, presence nephrologist all assessing regularly lung ultrasound bioimpedance. experience, exercising hemodialysis has additionally been associated better hemodynamic intradialytic hypotension. Moreover, there little evidence support gradient serum approach optimal.