HIGHER DIALYSIS ADEQUACY WITH 3 MEQ/LIT VERSUS 1 MEQ/LIT POTASSIUM HEMODYALYSIS SOLUTION

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TAHERI SH.; SHAHGHOLIAN N.

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Journal: Journal of Shahrekord University of Medical Sciences Year:2002 | Volume:4 | Issue:1 Page(s): 17-23

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Information Journal Paper

Title

HIGHER DIALYSIS ADEQUACY WITH 3 MEQ/LIT VERSUS 1 MEQ/LIT POTASSIUM HEMODYALYSIS SOLUTION

Author(s)

TAHERI SH. | SHAHGHOLIAN N. | Issue Writer Certificate

Keywords

DIALYSIS ADEQUACYQ3

DIALYSATE POTASSIUMQ3

HEMODIALYSISQ4

Abstract

Routinely HEMODIALYSIS (HD) solution with a K+ concentration of 1 mEq/lit is being used in Iranian HO centers. This dialysate K+ concentration may cause dangerous hypokalemia during HO session, and other K+ concentrations of HD solutions are not available. In two previtms studies, the effects of different K+ concentrations on dialysis efficacy were studied, which had conflicting results. So we studied the effect of one and three mEq/lit K+ concentrations of HD solutions on dialysis efficacy and serum K+ level at the end and 30 minutes after HD session. Thirty chronic stable HO patients contributed in a double blind crossover study. Patients in the first session of two consecutive weeks were hemodialysed with 1 arid 3 mEq/lit, K+ dialysate. At 30 seconds after HO, dangerous hypokalemia ([K+]<3.5 mEq/lit) occurred more frequently with dialysate K+ concentration of 1 versus 3 mEq/lit (50% vs. 3.3%, P<0.05). This difference was abolished 30 minutes after completion of HO. Incidences rate of dangerous hyperkalemia ([K+]>5.5 mEq/lit) was similar with both K+ concentrations. Thirty minutes after completion of HD, better HD adequacy was achieved with 3 mEq/lit compared with 1 mEq/lit K+ dialysate concentration measured with Kt/V (0.93±0.3 vs. 0.84±0.34, P<0.05) and urea reduction ratio (0.52±0.12 vs. 0.48±0.17, P<0.05). Therefore using 3 mEq/lit K+ dialysate concentration is safer and causes a higher dialysis efficacy compared with I mEq/lit K+ dialysate concentration.

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APA: Copy

TAHERI, SH., & SHAHGHOLIAN, N.. (2002). HIGHER DIALYSIS ADEQUACY WITH 3 MEQ/LIT VERSUS 1 MEQ/LIT POTASSIUM HEMODYALYSIS SOLUTION. JOURNAL OF SHAHREKORD UNIVERSITY OF MEDICAL SCIENCES, 4(1), 17-23. SID. https://sid.ir/paper/58802/en

Vancouver: Copy

TAHERI SH., SHAHGHOLIAN N.. HIGHER DIALYSIS ADEQUACY WITH 3 MEQ/LIT VERSUS 1 MEQ/LIT POTASSIUM HEMODYALYSIS SOLUTION. JOURNAL OF SHAHREKORD UNIVERSITY OF MEDICAL SCIENCES[Internet]. 2002;4(1):17-23. Available from: https://sid.ir/paper/58802/en

IEEE: Copy

SH. TAHERI, and N. SHAHGHOLIAN, “HIGHER DIALYSIS ADEQUACY WITH 3 MEQ/LIT VERSUS 1 MEQ/LIT POTASSIUM HEMODYALYSIS SOLUTION,” JOURNAL OF SHAHREKORD UNIVERSITY OF MEDICAL SCIENCES, vol. 4, no. 1, pp. 17–23, 2002, [Online]. Available: https://sid.ir/paper/58802/en

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