| Theme | Abnormal Blood Pressure in Dialysis Patients | |
|---|---|---|
| Title | Dialysate sodium concentrations | |
| Publish Date | 2011/08 | |
| Author | Noritomo Itami | Kidney Center, Nikko Memorial Hospital |
| Author | Kazushi Tsuneyama | Department of Clinical Engineering, Nikko Memorial Hospital |
| Author | Susumu Uemura | Department of Clinical Engineering, Nikko Memorial Hospital |
| [ Summary ] | In the past, it was considered that most interdialytic sodium intake could be removed through ultrafiltration as long as sodium concentrations during dialysis did not cause hypotension or muscle cramping. Because of high water removal rates over short periods of time and the availability of effective dialyzers, sodium concentrations in dialysates have been increased. In recent years it has been shown that individuals have their own particular serum sodium concentration set points. It is known that if dialysates with high sodium concentrations are used, returning to the set point, post dialysis, results in thirst, interdialytic weight gain and hypertension. In consideration of these factors, matching the sodium dialysate concentrations to the individual's set point should be taken into account. |
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