An hypothesis to explain the ultrafiltration characteristics of peritoneal dialysis

Net removal of fluid and sodium from the body during peritoneal dialysis is accomplished with dialysis solutions that contain high glucose concentrations and are hyperosmolar to body fluid [1]. Commercially available peritoneal dialysis solutions contain glucose concentrations ranging from 1.5 to 4.25 g/dl and have osmolalities ranging from 334 to 490 mOsm/kg H2O. The solutions also contain concentrations of sodium, chloride, magnesium, and calcium that approach those of normal extracellular fluid. Acetate or lactate, rather than bicarbonate, is used as the nonchloride anion. Potassium may be added or, depending on the need for potassium removal, solutions may be potassium-free