Preparation apparatus and preparation method for dialysis fluid of variable bicarbonate ion concentration type, dialysate of variable bicarbonate ion concentration type, and dialysis system of variable bicarbonate ion concentration type
Technology for preparing a dialysis fluid capable of flexibly changing bicarbonate ion concentration and maintaining concentrations of electrolytes such as potassium, calcium, and magnesium at constant levels during dialysis according to the disease state of a patient. A three-component dialysate containing an agent S containing sodium chloride, an agent B containing sodium bicarbonate, and an agent A containing electrolyte components other than sodium chloride and sodium bicarbonate, with suitable adjustment of the amount of the agent B during dialysis fluid preparation maintains concentrations of trace metal ions such as potassium ions, calcium ions, and magnesium ions in a dialysis fluid at constant levels and flexibly changes the bicarbonate ion concentration therein. Adjusting the ratio between the amount of the agent S and agent B when the dialysate is used also makes it possible to maintain the sodium ion concentration at a constant level or flexibly change the sodium ion concentration.
1. A hemodialysis method comprising subjecting a patient to a hemodialysis using a dialysis fluid prepared with a dialysate, wherein the dialysate is a three-component dialysate and comprises:
an agent S containing sodium chloride,
an agent B containing sodium bicarbonate, and
an agent A containing electrolyte components other than sodium chloride and sodium bicarbonate,
wherein the dialysate is used such that a ratio between amounts of the agent S and the agent B is adjusted during dialysis according to a disease state of the patient so as to change a bicarbonate ion concentration and to maintain a sodium ion concentration at a constant level in the dialysis fluid,
wherein the change of the bicarbonate ion concentration and the maintaining of the sodium ion concentration are set before actual start of dialysis, and
wherein the patient has metabolic acidosis, and the patient is subjected to the hemodialysis in order to ameliorate the metabolic acidosis.
2. The hemodialysis method according to claim 1 , wherein the dialysate is used such that the bicarbonate ion concentration in the dialysis fluid is within a range of 20 to 40 mEq/l.
3. The hemodialysis method according to claim 1 , wherein the dialysate is used such that the bicarbonate ion concentration in the dialysis fluid is within a range of 25 to 35 mEq/l.
4. The hemodialysis method according to claim 1 , wherein the agent S is solid.
5. The hemodialysis method according to claim 1 , wherein the agent B is solid.
6. The hemodialysis method according to claim 1 , wherein the agent A contains neither acetic acid nor a salt thereof.
7. The hemodialysis method according to claim 1 , wherein the agent A contains an electrolyte components mixture other than sodium chloride and sodium bicarbonate.
8. A method for operating a dialysis fluid preparation apparatus including an agent S container that accommodates an agent S containing sodium chloride and has an outlet, an agent B container that accommodates an agent B containing sodium bicarbonate and has an outlet, an agent A container that accommodates an agent A containing electrolyte components other than sodium chloride and sodium bicarbonate and has an outlet, a mixing part in which the agent S discharged from the agent S container, the agent B discharged from the agent B container, and the agent A discharged from the agent A container are mixed to give a dialysis fluid, an input part that receives an input of dialysis fluid data containing bicarbonate concentration information that specifies a bicarbonate ion concentration in the dialysis fluid before actual start of dialysis, and a control part that controls at least an amount of the agent B supplied to the mixing part based on the dialysis fluid data set according to a disease state of a patient before actual start of dialysis, so as to change the bicarbonate ion concentration in the dialysis fluid during dialysis, wherein the control part operates such that a ratio between amounts of the agent S and the agent B is adjusted so as to change a bicarbonate ion concentration and to maintain a sodium ion concentration at a constant level in the dialysis fluid, wherein the disease state of the patient before start of dialysis comprises metabolic acidosis.
9. The method for operating a dialysis fluid preparation apparatus according to claim 8 , wherein the control part operates so as to mix the agent S with the agent B to give an S-B mixture containing sodium chloride and sodium bicarbonate, and mix the S-B mixture with the agent A.
10. The method for operating a dialysis fluid preparation apparatus according to claim 8 , wherein the control part operates so as to bring the agent S in an aqueous solution form into contact with the agent B in a solid form to give a S-B mixture in a liquid form in which sodium chloride and sodium bicarbonate are dissolved, and mix the liquid S-B mixture with the agent A.
11. The method for operating a dialysis fluid preparation apparatus according to claim 10 , wherein the agent S in an aqueous solution form has a sodium chloride concentration of 8 to 14 g/100 ml.
12. The method for operating a dialysis fluid preparation apparatus according to claim 8 , wherein the agent A contains an electrolyte components mixture other than sodium chloride and sodium bicarbonate.
13. A preparation method of dialysis fluid comprising a step of mixing an agent S containing sodium chloride, an agent B containing sodium bicarbonate, and an agent A containing electrolyte components other than sodium chloride and sodium bicarbonate, in the step, a ratio between amounts of the agent S and the agent B is adjusted during dialysis based on a dialysis fluid data set according to a disease state of a patient before actual start of dialysis, so as to change a bicarbonate ion concentration and to maintain a sodium ion concentration at a constant level in the dialysis fluid, wherein the disease state of the patient before start of dialysis comprises metabolic acidosis.
14. The preparation method of dialysis fluid according to claim 13 , wherein the agent A contains an electrolyte components mixture other than sodium chloride and sodium bicarbonate.