Document Detail

What can we do with sodium retention in peritoneal dialysis patients?
MedLine Citation:
PMID:  18957009     Owner:  NLM     Status:  MEDLINE    
Salt intake in XXI century in an average person exceeds 10-15 grams per day. The key organ responsible for sodium regulation is kidney and renal failure patients present with positive sodium balance. In peritoneal dialysis (PD) patients rising hypertension is often connected with volume overload and sodium retention. The reasons for inadequate sodium removal in PD patients are: too small gradient between standard 134 mmol/l sodium PD solutions, sodium seiving effect and lack of residual renal function. APD patients are at higher risk of sodium overload in comparison to CAPD ones. As it has been shown that a degree of sodium removal correlates with survival, sodium management appears to be crucial in these patients. The concept of low sodium solutions has been developed over the years with single-dwell ultra-low solutions and recently with low sodium balance solution given as a continuous treatment in CAPD patients. Preliminary results show that low sodium solutions may be a safe and viable option of treatment of PD patients with sodium and fluid overload.
M Lichodziejewska-Niemierko
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Nefrología : publicación oficial de la Sociedad Española Nefrologia     Volume:  28 Suppl 6     ISSN:  0211-6995     ISO Abbreviation:  Nefrologia     Publication Date:  2008  
Date Detail:
Created Date:  2008-10-29     Completed Date:  2009-01-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8301215     Medline TA:  Nefrologia     Country:  Spain    
Other Details:
Languages:  eng     Pagination:  29-32     Citation Subset:  IM    
Department of Nephrology Transplantology and Internal Medicine, Medical University Gdansk, Poland.
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MeSH Terms
Hemodialysis Solutions
Peritoneal Dialysis*
Sodium Chloride / metabolism*
Reg. No./Substance:
0/Hemodialysis Solutions; 7647-14-5/Sodium Chloride

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

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