Can you change the sodium profile in the middle of a Tx? What are the ramifications?
You CAN, but you should be very cautious in doing so. I wouldn't recomend it with pt's dialyzing for short times such as 3hours or so. You could cause too rapid of a shift in their sodium level which could potentially lead to seizures or other neurological or cardiac problems.
Things to consider if choosing to do so would be 1. be sure to set the profile duration to match the time remaining on dialysis 2. be wary of how much difference you are setting in the intitial NA as compared to the final NA (you wouldn't want the intitial spike to be 150 and the final being 130 with only an hour or so left on the treatment) 3. closely exam your chosen profile and determine whether or not it's actually going to benefit the patient given the time remaining (a step profile isn't going to have many beneficial "steps" if the treatment time is short).
This just my opinion/educated guess. I have no facts to back up this statement.
Thanks. I did not think it was a good idea.
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