How do you manage hemodialysis for an ESKD patient presenting with severe hyponatremia and a serum sodium more than 10 mEq/L below the lowest available dialysate sodium concentration?

Topics: Nephrology • End stage kidney disease

Answer from: at Academic Institution

There are multiple ways of dealing with this situation. One option is not to dialyze if not urgent and let the sodium come up before starting dialysis. The most exact way of dealing with the situation is to do hemofiltration either continuously or intermittently with a concomitant D5W infusion adjus...

Comments

at Haddon Renal Medical Specialists Pa
It is important to remember that this hyponatremia...

at Ohio State University Medical Center
I agree. The risk of ODS is very low in these pati...

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