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Negative dialysate to sodium gradient does not lead to intracellular volume expansion post hemodialysis

Nephrology
Author
Davenport A
Used Parameters : ECW, ICW
Publication Year : 2010
Country : UK
Journal : International journal of Artificial Organs
Introduction Intradialytic hypotension remains the most common complication of routine outpatient hemodialysis treatments. There is debate as to the optimum dialysate sodium concentration, with hypotonic dialysates potentially causing intracellular swelling and hypertonic ones intracellular dehydration. Methods Multi-frequency bioimpedance was used to assess extracellular and intracellular fluid volumes in 53 adult hemodialysis patients. Dialysate sodium was checked by ion electrophoresis. Results The mean decrease in …
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