Document Detail

Selection of dialysate and replacement fluids and management of electrolyte and Acid-base disturbances.
MedLine Citation:
PMID:  19426416     Owner:  NLM     Status:  MEDLINE    
Often, too little consideration is given to the fluids used in all forms of continuous renal replacement therapy (CRRT). However, errors in fluid prescription, delivery, or creation can be rapidly fatal; in addition, fluid associated expenses can be the overriding cost in continuous renal replacement therapies. While a standard solution is frequently acceptable in most clinical circumstances, specific electrolyte and acid-base disturbances may direct changes in fluid delivery and composition. Decisions regarding fluids, whether dialysate versus replacement, including generation and composition of therapy are discussed in this review.
Michael A Kraus
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Seminars in dialysis     Volume:  22     ISSN:  1525-139X     ISO Abbreviation:  Semin Dial     Publication Date:    2009 Mar-Apr
Date Detail:
Created Date:  2009-05-11     Completed Date:  2009-08-25     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8911629     Medline TA:  Semin Dial     Country:  United States    
Other Details:
Languages:  eng     Pagination:  137-40     Citation Subset:  IM    
Department of Medicine, Division of Nephrology, Indiana University Medical School and Clarian Health, Indianapolis, IN 46202, USA.
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MeSH Terms
Acid-Base Imbalance / etiology,  prevention & control*
Dialysis Solutions / chemistry*,  therapeutic use
Electrolytes / analysis*,  therapeutic use
Kidney Failure / therapy
Magnesium / analysis
Phosphorus / analysis
Potassium / analysis
Renal Replacement Therapy / adverse effects,  methods*
Sodium / analysis
Water-Electrolyte Imbalance / etiology,  prevention & control*
Reg. No./Substance:
0/Dialysis Solutions; 0/Electrolytes; 7439-95-4/Magnesium; 7440-09-7/Potassium; 7440-23-5/Sodium; 7723-14-0/Phosphorus

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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