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Would you consider reducing the dialysate sodium concentration to 135 meq/L as a strategy to decrease interdialytic weight gain in a hypervolemic ESKD patient?

Miskulin, et al., PMID 38349776
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Would you consider reducing the dialysate sodium concentration to 135 meq/L as a strategy to decrease interdialytic weight gain in a hypervolemic ESKD patient?

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1 Answer
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Nephrology · University Of California San Francisco Medical Center At Parnassus
Answered on

Yes. It is worth a try. I don't expect miracles though. It may make a minor difference. The best option remains longer and more frequent dialysis if possible and agreeable with the patient which is often not the case.

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