امرأة عمرها ٥٥ سنة على غسيل كلوي، تزيد بين الجلسات ٤ كغ رغم أن المسموح لها لتر واحد يومياً من السوائل. تقول إنها عطشانة دائماً، وتحب الأكل المالح. الضغط ١٦٤/٩٦ قبل الجلسة. أي نصيحة تساعدها أكثر؟

A 55-year-old woman on haemodialysis gains 4 kg between sessions despite a 1 L daily fluid allowance. She says she is always thirsty and loves salty food. Pre-dialysis BP 164/96. Which advice helps most?

1. Postpone the next session until the weight falls by itself
2. Reduce salt and suck small ice chips counted within her fluid allowance
3. Eat more salty food to replace the lost salts
4. Drink juices instead of water since they do not count as fluid

Answer: B) Reduce salt and suck small ice chips counted within her fluid allowance. Salt drives thirst and fluid gain. Reducing salt, ice chips, sugar-free gum and small cups help; all fluids and liquid foods count.