[Programmed fluid removal during hemodialysis in patients with unstable hemodynamics]

In 7 anuric patients with chronic renal failure treated by hemodialysis for a period from 36 up to 73 months a programmed drawing out of fluids was applied by using a dialyzing solution with variable sodium concentration in order to avoid heavy hypotensive incidents. The concentrations of potassium, sodium in serum and erythrocytes, plasma osmolarity, arterial pressure, body mass, use of medicaments were examined. The "programmed dialysis" led to a greater with 1.6% decrease of body mass and to a lower expenditure of medicaments. 10% sodium chloride solution--6 times less, peripheral vasoconstrictors--2.4 times less, there had been no need of infusions. No subjective complaints from the patients and no premature discontinuing of the hemodialysis before attaining the optimal postdialysis body mass took place.