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Individualizing the Dialysate in the Hemodialysis Patient

In most outpatient centers the dialysate is prepared centrally such that the composition of the dialysate is the same for all patients. When delivered in this manner most patients tolerate the procedure well. However, there are patients who tolerate the procedure poorly, which has prompted a great deal of research focused on individualizing the composition of the dialysate in order to improve patient tolerability. Prescribing a patient‐specific dialysate will become increasingly important as the age of and number of comorbid conditions increase in the dialysis population.