High sodium dialysate
نویسندگان
چکیده
منابع مشابه
Are dialysate sodium levels too high?
Universal lower dialysate [Na+] is often advocated as a means of improving the dire cardiovascular plight of our dialysis patients. However, there is evidence associating lower dialysate [Na+] and increased morbidity and mortality especially in frailer patients, probably as a result of more frequent intra-dialytic hypotension. In this editorial, we summarize arguments for and against lower dial...
متن کاملDialysate sodium and the milieu intérieur.
The life-sustaining technology of maintenance hemodialysis attempts to accomplish in a dozen or so hours a week what the kidneys labor to do 24 hours per day: maintain the optimal composition and volume of body fluids. Claude Bernard’s insight in the 1800s about the milieu intérieur (“all of the vital mechanisms, however varied they may be, have always one goal, to maintain the uniformity of th...
متن کاملDialysate sodium, serum sodium and mortality in maintenance hemodialysis.
BACKGROUND Individuals with end-stage kidney disease appear to have stable pre-dialysis serum sodium concentrations over time, with lower values associating with increased mortality. Dialysate sodium concentrations have increased over many years in response to shorter treatments, but the relationship between serum sodium, dialysate sodium and outcomes in chronic hemodialysis patients has not ye...
متن کاملDialysate sodium and sodium gradient in maintenance hemodialysis: a neglected sodium restriction approach?
BACKGROUND A higher sodium gradient (dialysate sodium minus pre-dialysis plasma sodium) during hemodialysis (HD) has been associated with sodium loading; however, its role is not well studied. We hypothesized that a sodium dialysate prescription resulting in a higher sodium gradient is associated with increases in interdialytic weight gain (IDWG), blood pressure (BP) and thirst. METHODS We co...
متن کاملIonic mass balance and blood volume preservation during a high, standard, and individualized dialysate sodium concentration.
BACKGROUND Although a higher dialysate sodium concentration (DNa) is frequently used to improve haemodynamic stability during haemodialysis, few studies have compared ionic mass balance (IMB) during different DNa. Moreover, DNa is usually a standard prescription, whereas inter-individual pre-dialytic serum sodium levels may differ widely. The aims of the study were to assess IMB and the decline...
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ژورنال
عنوان ژورنال: Journal of Japanese Society for Dialysis Therapy
سال: 1982
ISSN: 0288-7045,1884-6203
DOI: 10.4009/jsdt1968.15.103