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Etiologies of IDH

 Excessive fluid removal

 UFR > 0.35 ml/min/kg (20ml/kg/hr.)

 Decrease in plasma volume >20%

1. Decrease  Inadequate plasma refill

cardiac  Hypoglycemia

preload  Hyponatremia and/or low dialysate Na

 Hypoalbuminemia

 Anemia

 Impaired DeJager-Kroger reflex?

Clin J Am Soc Nephrol . 2018 Aug 7;13(8):1297-1303.