Calcium Mass Balances in Bicarbonate Hemodialysis
Author
Source
International Journal of Nephrology
Issue
Vol. 2011, Issue 2011 (31 Dec. 2011), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2011-04-26
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Dialysate calcium (Ca) concentration should be viewed as part of the integrated therapeutic regimen to control renal osteodystrophy and maintain normal mineral metabolism.
The goals of this integrated approach are to keep the patient in a mild positive Ca mass balance (CaMB), to maintain normal serum Ca levels, to control plasma parathyroid hormone values to two to three times above normal levels, and to avoid soft-tissue calcifications.
Thus, a correct net CaMB during hemodialysis (HD) is crucial in the treatment of renal osteodystrophy.
Very few studies have been published which measured CaMBs in bicarbonate HD.
This is mainly due to the technical difficulties in achieving an accurate measurement of CaMBs owing to the need for the collection of the total spent dialysate or of a proportional aliquot of it.
Whereas no doubt exists about the fact that an inlet dialysate Ca concentration (CaD) of 1.75 mmol/L leads to a positive CaMB, more controversial is this issue, when dealing with a CaD of 1.50 mmol/L and, even more, when dealing with a CaD of 1.25 mmol/L.
Another important issue is the appropriate CaD in long-hour slow-flow nocturnal HD.
Finally, which CaMB should we study: ionized CaMB or total CaMB? This issue is largely discussed in the review.
American Psychological Association (APA)
Basile, Carlo. 2011. Calcium Mass Balances in Bicarbonate Hemodialysis. International Journal of Nephrology،Vol. 2011, no. 2011, pp.1-4.
https://search.emarefa.net/detail/BIM-479907
Modern Language Association (MLA)
Basile, Carlo. Calcium Mass Balances in Bicarbonate Hemodialysis. International Journal of Nephrology No. 2011 (2011), pp.1-4.
https://search.emarefa.net/detail/BIM-479907
American Medical Association (AMA)
Basile, Carlo. Calcium Mass Balances in Bicarbonate Hemodialysis. International Journal of Nephrology. 2011. Vol. 2011, no. 2011, pp.1-4.
https://search.emarefa.net/detail/BIM-479907
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-479907