Sodium Bicarbonate intraperitoneal dose for adult patients using PD solution containing of Lactate. How often can be used? And what are the Precautions should be taken during the administration
Optimum bicarbonate concentration in peritoneal dialysate to reduce infusion pain
The pain during peritoneal dialysis (PD) usually occurs in at the onset of this mode of dialysis. This is usually due to acidic nature of the peritoneal dialysate fluid, either due to lactate or due to hypertonic dextrose or both. Usually optimizing the bicarbonate in the peritoneal dialysate fluid can reduce the pain.
However, be vary of increased incidence of peritonitis by use of high bicarbonate.
You can choose the ideal regimen of bicarbonate concentration in the peritoneal dialysate fluid as guided by the regimen described in the two articles (1-2).
1. Article Individualized bicarbonate concentrations in the peritoneal ...