Dialysate Sodium - Just when I thought I had it under control, this happens

There are several points of uncertainty that can actually impact the amount of sodium going into your body during the dialysis session. I had blogged about the whole sodium thing in this post here, but from the last week, I've realized that what I mentioned in that post is not final by any means. So, let me explain what's happening.

Over the last week or so, I have suddenly been feeling a little dizzy after my dialysis session ends. I tried increasing the dry weight, essentially removing less fluid, but that did not help. I also attempted to increase my prescribed sodium level and even got the conductivity of the machine up to 14.2. That also does not seem to be helping.

Now that I think about it, there are several points where things could have changed. First is the possibility that the supplier of my Part A cans may have made a mistake while mixing the salts with water. The second possibility is a machine issue where the machine is not showing the correct conductivity. And the third possibility is that something has changed other than the dialysis itself. One thing that comes to mind is that I recently switched my laxative from psyllium husk to lactulose. I'm not sure if that could be the problem.

At this point, I'm really not sure what steps to take next. I might ask the biomedical engineer from the company to come and calibrate the machine, just to ensure there's no issue with it. After that, I could reach out to the manufacturer and request a fresh batch of Part A, ensuring the mixing has been done correctly. Based on the results from these actions, I will then decide the next course of action.

Rarely a dull day on dialysis!

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