Citrasate and Additives
(Print PDF)
Additives can be used with Citrasate to adjust the dialysate bath to the desired milliequivalent (mEq+) level. Edlaw’s pre-measured packets can alter (spike) a stock gallon of Citrasate concentrate to the exact physiological needs of the patient.
- All packets are color-coded for safety and have directions for use
- All boxes include instruction sheets and mEq+ to gram conversion formulas
- All potassium and calcium chloride boxes include color-coded adhesive labels to indicate which concentration container has been “spiked”, by whom, by how much and the date it was done.
How to “spike” a Citrasate dialysate bath
- Verify physicians order for Potassium and/or Calcium Chloride in dialysate.
- If required, have a clinical staff member oversee use and mixing of additive.
- Verify size of acid container your facility uses. Citrasate gallons are 3.78 liters.
- Determine which electrolyte additive is needed (KCl, CaCl2, etc)
- Determine the amount of milliequivalent increase required (.5 mEq/l, 1 mEq/l, etc)
- Refer to Edlaw’s Hemodialysis Additive Chart or Slide Adjustment Guide to determine the correct gram weight to use.
- After the correct gram size has been determined: verify gram weight on additive packet, tear or cut open the packet, dispense all contents into dialysate container and mix / shake until completely dissolved.
- Complete Edlaw Potassium and/or Calcium Chloride concentrate adjustment label and affix to each concentrate container.
- If validation is necessary, lab test the dialysate. This procedure is performed by obtaining a sample of the final dialysate fluid from the dialysis machine after conductivity has been reached and sodium modeling is turned off. Send sample to a lab for validation.
To order Edlaw additives for any of your dialysis needs, please call Dial Medical customer service at 800-346-2080 or fax your order to 610-827-0987.
Additive Chart (Print PDF)
CITRASATE 1000 series - Proportioning Ratio of (1:1.83:34)-(1:35.83)-(36.83x) |
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Additive |
To Raise The Bath |
When Dialysate Volume Is: |
Add Packet Weight |
Packets Per Box |
Potassium Chloride |
.5 mEq/liter |
3.78 liters (1 gal) |
5.2 grams |
150 |
Potassium Chloride |
1 mEq/liter |
3.78 liters (1 gal) |
10.4 grams |
125 |
Potassium Chloride |
2 mEq/liter |
3.78 liters (1 gal) |
20.8 grams |
90 |
Calcium Chloride |
.5 mEq/liter |
3.78 liters (1 gal) |
5.1 grams |
200 |
Calcium Chloride |
1 mEq/liter |
3.78 liters (1 gal) |
10.2 grams |
125 |
Calcium Chloride |
2 mEq/liter |
3.78 liters (1 gal) |
20.5 grams |
75 |
CITRASATE 2000 series - Proportioning Ratio of (1:1.72:42.28)-(1:44)-(45x) |
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Additive |
To Raise The Bath |
When Dialysate Volume Is: |
Add Packet Weight |
Packets Per Box |
Potassium Chloride |
.5 mEq/liter |
3.78 liters (1 gal) |
6.3 grams |
150 |
Potassium Chloride |
1 mEq/liter |
3.78 liters (1 gal) |
12.7grams |
100 |
Potassium Chloride |
2 mEq/liter |
3.78 liters (1 gal) |
25.4 grams |
90 |
Calcium Chloride |
.5 mEq/liter |
3.78 liters (1 gal) |
6.3 grams |
150 |
Calcium Chloride |
1 mEq/liter |
3.78 liters (1 gal) |
12.5 grams |
100 |
Calcium Chloride |
2 mEq/liter |
3.78 liters (1 gal) |
25.0 grams |
50 |
CITRASATE 3000 series - Proportioning Ratio of (1:1.225:32.775)-(1:34)-(35x) |
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Additive |
To Raise The Bath |
When Dialysate Volume Is: |
Add Packet Weight |
Packets Per Box |
Potassium Chloride |
.5 mEq/liter |
3.78 liters (1 gal) |
4.9 grams |
175 |
Potassium Chloride |
1 mEq/liter |
3.78 liters (1 gal) |
9.8 grams |
125 |
Potassium Chloride |
2 mEq/liter |
3.78 liters (1 gal) |
19.6 grams |
100 |
Calcium Chloride |
.5 mEq/liter |
3.78 liters (1 gal) |
4.9 grams |
200 |
Calcium Chloride |
1 mEq/liter |
3.78 liters (1 gal) |
9.7 grams |
125 |
Calcium Chloride |
2 mEq/liter |
3.78 liters (1 gal) |
19.5 grams |
75 |