For hemodialysis, it is used as a dialysate concentrate or ready-to-use solution in conjunction with a dialysis machine. For peritoneal dialysis, the solution is instilled directly into the patient's peritoneal cavity via a catheter, allowed to dwell for a prescribed period, and then drained.

It works by facilitating the exchange of solutes (waste products, electrolytes) and fluid across a semipermeable membrane (dialyzer in hemodialysis, peritoneal membrane in peritoneal dialysis) via diffusion and osmosis, driven by concentration gradients and osmotic pressure.

• •Known hypersensitivity to any component of the solution
• •Specific metabolic conditions that would be exacerbated by the solution's composition (e.g., severe lactic acidosis with lactate-containing solutions, specific electrolyte imbalances)

Store at room temperature (below 25°C), protect from freezing and extreme heat. Do not expose to direct sunlight. Keep out of reach of children.

Overdose of the solution itself is not directly possible. However, improper dialysis prescriptions (e.g., too rapid fluid removal, incorrect electrolyte concentrations) or technical errors can lead to severe electrolyte imbalances, fluid shifts, hypotension, hypertension, and other life-threatening complications. Management involves immediate medical intervention to correct imbalances and address symptoms.

Dialysis is often life-sustaining for pregnant or lactating women with kidney failure. Treatment with dialysis solution should be continued under close medical supervision, with careful monitoring and adjustments to ensure maternal and fetal well-being.