Optimization of Na Content in Dialysis Fluid
作者:
J.-L. Funck-Brentano,
N.K. Man,
期刊:
Nephron
(Karger Available online 1984)
卷期:
Volume 36,
issue 3
页码: 197-200
ISSN:1660-8151
年代: 1984
DOI:10.1159/000183153
出版商: S. Karger AG
关键词: Hemodialysis;Dialysate;Sodium;Transfer;Water
数据来源: Karger
摘要:
The design of a dialysate recirculating loop permitted assessment of dialysate/blood Na+ equilibrium which we established as: Na+ plasma water concentration of 143.4 mEq/l and Na+ dialysate concentration of 136.6 mEq/l (Donnan effect). Sodium and water removal using different Na+ dialysate concentrations have been assessed. With an Na+ dialysate concentration of 130 mEq/l plasma clearance of Na+ and H2O are equal, NNa/NH2o = 128–142. Using a dialysate Na+ concentration of 162 mEq/l, NNa/NH2o = 40–61, i.e. Na+ clearance is much lower than H2O clearance. The average patient requires removal of 2 liters H2O and 200 mEq Na+, i.e. NNa/NH2o = 100. This corresponds to an Na+ dialysate concentration of 145 mEq/l. The incidence of hypotensive episodes during dialysis will be reduced if NNa/NH2o ratios (Na+ dialysate concentrations) are individualized for hemodialysis patie
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