Does the dual blockade of the renin-angiotensin system in hemodialysis patients require decreased dialysate sodium concentration?
The dual blockade of the renin-angiotensin system affects sodium balance, increasing the sodium gradient, thus elevating thirst sensation and enhancing interdialytic weight gain. In maintenance hemodialysis patients treated with both ACEI and ARB, lowered dialysate sodium levels should be prescribed.
The combination of ampicillin + dexamethasone + indomethacin suppressed inflammation and significantly prolonged gestation.