Abstract
Recently, dialysates with sodium acetate (D-A·Na) has been changed for dialysates with sodium bicarbonate (D-B·Na). In long term hemodialysis patients, hypertension often relaps after changing D-A·a with D-B·Na. Uncontrolled hypertension is also often accompanied by patients who are administered erythropoietin. Although D-A·Na is superior to D-B·Na for the therapy of hypertension in these patients, some cases manifest severe hypotension during HD using D-A·Na. Therefore, we investigated a new system which mix D-A·Na and D-B·Na. Mixing ratios of two dialysates are six kinds. This system was applied for 5 patients. Hypertension in the period of using D-B·Na and hypotension during HD using D-A·Na were all improved in all the patients.
