Liquid Concentrated Acid

Part A Liquid Form Variants (36.83X Dilution)

These acid concentrates contain electrolytes like sodium chloride, calcium chloride, potassium chloride, magnesium chloride, and acetic acid, diluted to form the final dialysate. They are designed for standard haemodialysis, with adjustments for patient-specific needs per guidelines.​

1. Normal Acid (36.83X): Standard formulation for routine dialysis, with typical electrolyte levels including sodium ~140 mEq/L, potassium 2 mEq/L, calcium 3 mEq/L, and magnesium 1 mEq/L in the final dialysate; includes acetic acid as buffer and optional dextrose for glucose control.​

2. Low Potassium (36.83X): Reduced potassium (e.g., 0-1 mEq/L in final solution) to manage hyperkalemia in acute renal failure patients, minimizing cardiac risks; sodium and other ions remain standard.​

3. Free Potassium (36.83X): Potassium-free version (0 mmol/L) specifically for severe hyperkalemia cases, ensuring rapid correction without exogenous potassium addition; complies with regulatory standards for electrolyte-free options.​

4. High Calcium (36.83X): Elevated calcium (e.g., 3.5-4.0 mEq/L final) to prevent hypocalcemia and support bone health in chronic kidney disease; useful for patients on calcium-binding phosphate medications.​

5. Low Calcium (36.83X): Lowered calcium (e.g., 2.0-2.5 mEq/L final) for patients with hypercalcemia or those using calcimimetics; helps maintain vascular stability during sessions.​

6. With Dextrose (36.83X): Includes glucose (100-200 mg/dL final) to prevent hypoglycemia in malnourished or diabetic dialysis patients; dextrose level supports energy needs without osmotic complications.​

Specialized Part A Variants

1. Bibag (35X Dilution): Bicarbonate-based system with 35X ratio