"A little bit of soap........"

Dialysate, the “soap” of haemodialysis is made up of a "concentrate" combination of certain essential electrolytes and filtered water. This is the vehicle which carries away metabolic waste products and excess water from the blood to be discarded and at the same time maintaining a correct balance of essential electrolytes in the blood.

Courtesy by Ain Medicare Sdn. Bhd.

The compositions of the “concentrate” include sodium, chloride, magnesium, potassium, bicarbonate of which sodium and chloride concentration is similar to that of human plasma. The bicarbonate level is usually higher than that of plasma so to correct the acid base imbalance of the blood.

It is important to ensure that certified “concentrate” that conform to the authorities requirement be used at all times. This is because "concentrate" prepared in non clean environment can cause bacteria to grow and these bacteria and dead ones which then formed endotoxins causes complications such as infections and chronic inflammation to tissues such as the heart.

There are many formulations of “concentrate” in the market, selecting the most appropriate “concentrate” is essential to have the best outcome. Never mismatch your “concentrate” as it may result in undesirable consequences.