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The 2018 Nissan Altima requires Synthetic OE Power Steering Fluid. Although power steering fluid is not typically seen as high maintenance, it plays a crucial role in your car's steering system. Flushing your power steering system can cost between $90 and $130. Opinions vary on how frequently power steering fluid should be changed, but the general recommendation is every five years or approximately every 90,000 miles. If your system is running low on fluid, air may enter the steering mechanism, and if you notice squealing sounds when turning the steering wheel, it's a clear indication that the power steering fluid needs to be replaced.
In 2018, the power steering fluid for the Nissan Altima should be fully synthetic OE type.