Individualized Sodium Prescription in Hemodialysis: An Ally for Better Dialysis Outcomes?

Abstract

The current practice in dialysis centres all over the world is to use standard sodium
dialysate for all patients. Recently, there is a lot of interest in manipulating the dialysate sodium concentration to reduce fluid overload and achieve better cardiovascular outcomes. An
ideal dialysate sodium concentration should provide intradialytic stability and abate the chronic
volume and pressure overload that affects hemodialysis patients. Since the sodium set points
in patients on hemodialysis is varied but individual specific, the focus is on individualized dialysate sodium prescription