@mastersthesis{10336/1313,
author = {Zuñiga Rodriguez, Eduardo Alfonso},
author = {Ruiz Pla, Fabián Alberto},
year = {2009},
month = {8},
url = {http://repository.urosario.edu.co/handle/10336/1313},
abstract = {Introduction. Solutions of hemodialysis (HD) have a standard
concentration of sodium (Na) 139 mEq / L which does not lose
sodium by diffusion even led to positive Na perpetuating the
feeling of thirst, hypertension, ventricular hypertrophy and high
weight gain interdialytic time.
Objetive. Identify the cardiovascular effects with the use of HD
solutions with Na concentrations of 132 mEq / L in patients with
chronic renal failure (CRF) from the renal unit RTS cardioinfantil
between August 2008 and January 2009.
Methods. We performed a randomized controlled, double blind,
initially a washout phase of the concentrations of sodium and 2
weeks after randomization in blocks in two groups, with
intervention in 8 weeks.
Results. We evaluated 82 patients of whom 64 were admitted to
the intervention, distributed to the intervention group and 31 to 33
control group patients. There was an increase in pulse pressure in
the intervention group and decreased sensation of thirst and weight
gain interdialytic time. Echocardiographic findings showed
decreased diameter of the inferior vena cava in both groups and
decreased left ventricular end diatolic volume. Most adverse events
were presented in the intervention group.
Discussion. The results differ from the literature as having a
greater number of diabetics in the control group and by time. No
conclusions can be drawn with regard to the increase in pulse
pressure or the decrease of the diameter of the inferior vena cava in
HD.
Conclusion. The HD solution with sodium concentration of 132
mEq / L does not decrease blood pressure, or the consumption of
antihypertensive drugs, however decreases the sensation of thirst
and weight gain interdialytic time.
Keyword. Hiponatric dialysis, inferior vena cava diameter, blood
pressure.},
keywords = {Hemodialisis},
keywords = {Sodio},
title = {Efectos cardiovasculares de concentraciones bajas de sodio en la solución de hemodiálisis en pacientes con insuficiencia renal cronica},
publisher = {Universidad del Rosario},
keywords = {Hemodialysis},
keywords = {Sodium},
}