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. 2022 Nov 10;8(3):405–418. doi: 10.1016/j.ekir.2022.10.031

Table 2.

Postdialysis target weight needs to be regularly assessed because an inappropriately low target increases the risk of intradialytic hypotension

Assessment Volume overload Volume depleted
History ↑Dietary salt intake ↓Appetite
↑Dyspnea Diarrhea/vomiting
Examination No postural hypotension Postural hypotension
↑Blood pressure ↓Blood pressure
↑Weight trend ↓Weight trend
↑Neck veins ↓Neck veins
↑Peripheral edema No edema
Laboratory Low albumin ↑Albumin
↑Natriuretic peptides ↓Natriuretic peptides
↑Serum CA125 Normal serum CA125
Imaging chest X ray ↑CTR Normal/↓CTR
Septal lines
Kerley B lines
Lung ultrasound >10 B lines <5 B lines
Abdominal ultrasound <50% collapse IVC >50% IVC collapse
Bioimpedance ↑ECW/ICW ↓ECW/ICW
Dialysis session RBV Flat line Rapid decline
Dialysis session VO2 Stable O2 saturation ↓O2 saturation

CA125, cancer antigen 125; CTR, cardio-thoracic ratio; ECW, extracellular water, ICW, intracellular water; RBV, relative blood volume; VO2, venous oxygen saturation.