Which of the following solutes may be found in a prescribed dialysate solution?

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Sodium bicarbonate is an essential component of dialysate solutions used in dialysis treatments. It plays a critical role in managing the acid-base balance in patients undergoing dialysis, particularly those with chronic kidney disease. The kidneys typically regulate bicarbonate levels in the body, but when kidney function declines, patients can develop metabolic acidosis due to the buildup of acids in the blood.

Sodium bicarbonate in dialysate helps to counteract this acidosis by providing the bicarbonate ions necessary to neutralize excess acids, thus helping to maintain the pH balance of the patient's blood during treatment. This is particularly important because uncorrected acidosis can lead to various health complications.

In contrast, while chloride and magnesium can be found in some dialysate solutions, their primary roles differ, and they are not as crucial for addressing acid-base balance. Iron is not typically included in dialysate meant for dialysis; instead, it is usually provided separately in cases of anemia, often as part of an iron supplementation regimen. Thus, sodium bicarbonate stands out as the most relevant solute for optimizing the dialysate solution in the context of correcting acidosis during dialysis.

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