Description
- Dextrose is required for maintaining an osmatile gradient between the blood and dialysate Hemodialysis against a dextrose free dialysate results in a net loss of glucose approximately 1 gm per litre fully equilibrated dialysate, or 24 to 36 gm per day during CRAT
- Patients on CRRT with a glucose free dialysate could be at risk if no additional glucose support such as dextrose in water by intraverious or total parenteral nutrition (TPN) or oral feeds was provided.
The composition of the dialysis solution is as follows:
PARTI: The acid concentrate (in liquid form) is composed of the following components in each 100ml: Sodium Chloride: 208.8g. Potassium Chloride: 5.50g: Calcium Chloride. 8. 10g. Magnesium Chloride 3.75g. Dextrose monohydrate: 40 50g, Acetic Acid: 6.86g, H,D:QS
PART II: The bicarb concentrate part containing Sodium Bicarbonate: 558g
Procedure for use:
Part I supplied in liquid form in white jerry cans of 10 s
Part II supplied in polythene bags sof 558g each (2 packs are supplied)
The total contents of part II are dissolved in purified water up to 10lts
The operator manual of the individual dialysis machine should be followed to obtain the final dialysate options based on a compatible concentrate-pair and standard proportioning ratio to give a final solution by mixing 1:1.83:34 parts of part part 1: purified water
