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Article: Personalizing electrolytes in the dialysis prescription: what, why and how?

Dilaver, R Gulsah / Ikizler, T Alp

Clinical kidney journal

2023  Volume 17, Issue 1, Page(s) sfad210

Abstract: Maintenance hemodialysis patients suffer from multiple comorbidities and treatment-related complications. A personalized approach to hemodialysis prescription could reduce some of these burdens by preventing complications such as excessive changes in ... ...

Abstract Maintenance hemodialysis patients suffer from multiple comorbidities and treatment-related complications. A personalized approach to hemodialysis prescription could reduce some of these burdens by preventing complications such as excessive changes in blood pressure, arrhythmias, post-dialysis fatigue and decreased quality of life. A patient-centered approach to dialysate electrolyte concentrations represents one such opportunity. In addition to modifications in dialysate electrolyte concentrations, consideration of individual factors such as patients' serum concentrations, medication profiles, nutritional status and comorbidities is critical to tailoring hemodialysis prescriptions to optimize patient outcomes. The development of personalized dialysis treatment depends on the collection of comprehensive patient data, advances in technology, resource allocation and patient involvement in decision-making. This review discusses how the treatment of maintenance hemodialysis patients could benefit from individualized changes in certain dialysis fluid components.
Language English
Publishing date 2023-10-13
Publishing country England
Document type Journal Article ; Review
ZDB-ID 2655800-2
ISSN 2048-8513 ; 2048-8505
ISSN (online) 2048-8513
ISSN 2048-8505
DOI 10.1093/ckj/sfad210
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