| [ Summary ] |
Standard commercial dialysate is classified into the 5 types of composition by the calcium concentration, glucose concentration and buffer composition. A lot of patients can adapt the 5 types of commercial dialysate which is selected by each case of clinical condition. However, some case of patients need individual prescription, which is increasing concentration of potassium, glucose and sodium. The buffer composition has developed from the first generation which is sodium acetate to the second generation which is bicarbonate with small amount of acetate. Recently the third generation which is acetate-free dialysate has been approved. This is expected better cardiovascular stability in the patients. Dialysate preparation should be attend to contamination and measured actual concentration. |