After water, sodium is the most abundant molecule in the plasma. In fact out of every 295 particles in the plasma (serum osmolality), 137 are sodium and another 137 are the corresponding negatively charged particles such as chloride and bicarbonate. As such sodium is the main determinant of extracellular fluid volume. Therefore, dialysis patients are required to reduce sodium intake due to fluid-retention.
Since sodium restriction is often not strictly observed, most dialysis patients are over hydrated (often exhibiting edema). Dialysate sodium concentration is often set in the realm of 135-140mEq/L.
A higher dialysate sodium level such as that used in sodium profiling has been employed by some centers to abstract tissue and intracellular fluids into the intravascular space so that blood volume and blood pressure could be better maintained during dialysis. However, this approach is not often favored on account of the development of interdialytic hypertension and also it leads to thirst and large intradialytic weight gain. Excess sodium and water are ordinarily removed during dialysis sessions via the process of ultrafiltration.
Alternative to dialysis
Dialysis is not the best way to treat Kidney Failure, because it can bring some side effects and cannot solve the underlying problem from the root. In that case, I recommend you to take traditional Chinese herbs.
Maikang composition, Micro-Chinese Medicine Osmotherapy and Medicated Bath are commonly used therapies in our hospital. The main function of these herbal remedies is to increase blood circulation so that ischemia and anoxia of kidneys can be improved. Them, kidney function can be protected and enhanced. We have more than 30 years clinical practice, you can trust us. Any questions, please email to us at firstname.lastname@example.org or leave a message below. Our doctor on duty will reply you within 24 hours.