Dialysate Calcium Levels: Do They Matter?

Frank M. van der Sande*, Karlien J. A. ter Meulen, Peter Kotanko, Jeroen P. Kooman

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Background: Calcium (Ca) is an essential element that plays a critical role in many biological processes. In dialysis patients, the regulation of Ca balance is highly complex, given the absence of kidney function, endocrine disturbances and the use of drugs such as phosphate binders, vitamin D analogues, and calcimimetics. Also, the use of different dialysate Ca (DCa) baths has profound effect on Ca balance, which depends both on the difference between the Ca concentration in the bath and the serum of the patients, as on the ultrafiltration volume. Summary: The choice of DCa may have important short-and long-term consequences. While lower DCa (especially

Original languageEnglish
Pages (from-to)230-235
Number of pages6
JournalBlood Purification
Volume47
Issue number1-3
DOIs
Publication statusPublished - 2019
EventRenal-Research-Institute's (RRI) 21st International Conference on Dialysis, Advances in Chronic Kidney Disease - New Orleans, United States
Duration: 15 Jan 201918 Jan 2019

Keywords

  • Calcium
  • Haemodialysis
  • (Patho)physiology
  • Mass balance
  • Outcome
  • MINERAL METABOLISM
  • IONIZED CALCIUM
  • MASS-BALANCE
  • 1.75 MMOL/L
  • HEMODIALYSIS
  • PLASMA
  • MORTALITY
  • OUTCOMES
  • KIDNEY
  • SERUM

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