Plasma Calcium and the Optimum Dialysate Calcium Concentration during Maintenance Haemodialysis

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Abstract

Pre- and post-dialysis plasma calcium concentrations have been surveyed and correlated with known changes in dialysate calcium concentrations during 7 years of maintenance haemodialysis. When dialysate calcium levels were 7 or 8 mg/ 100 ml, the patients were hypercalcaemic. Plasma calcium fluctuated within the normal range when the dialysate calcium was maintained around 6 mg/ 100 ml. Hypercalcaemia during maintenance dialysis may indicate only that the selected dialysate calcium is inappropriately high. The highest dialysate calcium which enables the pre- and post-dialysis plasma calcium levels to remain within the normal range is recommended. Even in traditionally soft water areas the effects of possible changes in the calcium content of the mains water must be considered.

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Journal ID (publisher-id): NEF

Journal ID (nlm-ta): Nephron

Journal ID (doi): 10.1159/issn.1660-8151

Title: Nephron

Publisher: S. Karger AG

ISSN (Print): 1660-8151

ISSN (Electronic): 2235-3186

Publication date Subscription-year: 1974

Publication date (Print): 1974

Publication date (Electronic): 28 November 2008

Volume: 12

Issue: 1

Pages: 15-21

Affiliations

Department of Medicine, University of Dundee and Renal Unit, Maryfield Hospital, Dundee

Article

Publisher ID: 180252 Other ID: Nephron 1974;12:15–21

DOI: 10.1159/000180252

PubMed ID: 4838008

SO-VID: f6252f2f-562c-40c0-976e-bbdcbdc2b63c

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Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher. Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug. Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.

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Plasma Calcium and the Optimum Dialysate Calcium Concentration during Maintenance Haemodialysis

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Karger: Nephrology

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