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KMID : 0382619850050020579
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Hanyang Journal of Medicine
1985 Volume.5 No. 2 p.579 ~ p.585
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Increment of Dialysate Sodium with Addition of Sodium Bicarbonate
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Abstract
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Hemodialysis was performed in 18 patients utilizing 3 kinds of dialysate which con-sist of acetate dialysate containing 134 mEq/L sodium and dialysate containing 140 mEq/L sodium, achieved by the addition of either sodium chloride or sodium bicar-bonate to the acetate dialysate for 2 weeks, alternatively.
Intradialytic morbidity was less with the higher sodium dialysate than the lower one. Predialysis pH was higher with the bicarbonate-added dialysate than chloride-added dialysate.
Addition of sodium bicarbonate by concentration of 6 mEq/L to the acetate dialysate was convenient and made no precipitation of divalent cations. Dialysate pH adjust-ment was not required. These findings suggest that the addition of sodium bicarbonate (6mEq/L) to acetate dialysate may be preferred to sodium chloride for increasing dialysate sodium in selected patients.
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