Observation of hypotension during hemodialysis and nursing care.doc

 PAGE \* MERGEFORMAT 7 Observation of hypotension during hemodialysis and nursing care [Keywords:] hemodialysis hypotension Hypotension is a common complication of hemodialysis, the rate was 20% to 40% [1]. Hypotension can lead to ultrafiltration difficulties and can not be successfully carried out dialysis, dialysis is not adequate, can induce cardiac arrhythmia, myocardial ischemia the blood, affecting the quality of life of patients and the survival rate. good control of blood pressure, dialysis can improve the efficacy and prolong the survival time of patients and improve their quality of life. through our department 42 cases of hypotension in hemodialysis patients observed, taken for of care measures, and achieved good results, are as follows. 1 Materials and Methods 1.1 Clinical data Select October 2006 -2007 hemodialysis in October the treatment of 42 patients with hypotension as the observed object, including 23 males and 19 females, aged 19 to 73 years, average 40.5 years old. The original 14 cases of diabetes onset , hypertension in 12 cases, 12 cases of chronic nephritis, acute renal failure in 4 cases. 1.2 Observation Method (1) record predialysis systolic blood pressure, diastolic blood pressure, monitoring the process of 1,2,3,4 h of dialysis and dialysis blood pressure, compared with predialysis blood pressure, record the time and the incidence of hypotension associated symptoms, (2) records of dialysis patients The weight change, and (3) nutrition in dialysis patients, anemia, heart function and serum creatinine, urea nitrogen, serum sodium level, (4) Dialysis hypotension occurs in the time eating, (5), taking blood pressure before dialysis drugs. 1.3 determine the indicators of low blood pressure Low blood pressure criteria for the sudden drop in blood pressure during hemodialysis, systolic blood pressure lt;100mmHg, diastolic blood pressure lt;40mmHg or systolic blood pressure decreasedgt; 40mmHg, DBPgt; 20mmHg, with