What is the recommended fluid intake for patients on hemodialysis?

For patients on hemodialysis, managing fluid intake is crucial due to the limitations on urine output and the potential for fluid overload. The recommended fluid intake of 1-2 liters per day is appropriate because it helps to accommodate the patient's needs without exceeding their ability to handle fluid efficiently. During hemodialysis, excess fluid is removed from the body, but patients are still at risk for complications related to fluid retention, such as hypertension and heart failure.

The specified range allows for hydration while being mindful of the patient's individual residual kidney function, as some patients may still produce urine which can affect the total allowable intake. Additionally, this guideline often considers the fluid contained in foods and medications, which also contributes to the overall fluid balance.

In contrast, higher fluid allowances could lead to excessive weight gain between dialysis sessions, putting patients at risk for greater cardiac workload and potential complications. Therefore, the recommendation strikes a balance, allowing patients to stay hydrated while ensuring safety and adherence to their treatment plans.