A member asked:

Can you give hypertonic solutions or d50 water for leg cramps during hemodialysis?

A doctor has provided 1 answer

Cramping treatment: The use of Hypertonic Saline (hs) and d50w (dextrose) in the treatment of leg cramps during dialysis is based on their being able to raise the serum osmolarity (so). Sodium, glucose and BUN combine to form the so of a patient. As BUN is lowered during dialysis, the so falls and may cause leg cramps. By giving hs and d50w (dextrose), the so is increased with the alleviation of them.

Answered 6/25/2014

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