Prevention of hypotension during hemodialysis and nursing care.doc

 PAGE \* MERGEFORMAT 3 Prevention of hypotension during hemodialysis and nursing care [Paper Keywords:] Hemodialysis; hypotension; Care [Abstract] Objective: To explore how the prevention and treatment of hemodialysis hypotension from occurring. Methods: The range of preventive, treatment and care measures, high / low sodium sequential dialysis to prevent the occurrence of hypotension during hemodialysis. Results: The incidence of dialysis hypotension significantly lower (about 10% ~ 15%), dialysis effectiveness and quality of life improved significantly. Conclusion: to take effective measures to prevent and care is to reduce the occurrence of hypotension during dialysis to ensure that the key effect of dialysis on patients to improve survival and quality of life significance. Hypotension is a maintenance hemodialysis patients with dialysis complications arising in the course of the incidence rate was 20% ~ 30% [1], refers to the pre-dialysis mean arterial pressure decreased more than 4 kPa or more, or systolic blood pressure fell to 12 kPa below, with or without symptoms of low blood pressure [2]. Low blood pressure dialysis treatment can not be carried out smoothly, the impact effect in patients with dialysis. To strengthen and attention to prevention and treatment of hypotension in dialysis patients on maintenance hemodialysis patients to improve survival and quality of life has important significance. In our hospital from January 2006 ~ December 2006 during hemodialysis in patients with appropriate adjustments to the concentration of dialysate sodium to reduce the temperature of dialysate to prevent and reduce the incidence of hypotension in hemodialysis results were satisfactory, are reported below. A clinical data 1.1 General information: The group of 46 patients with dialysis patients, 35 males and 11 females, aged 29 to 85 years old, with an average age of 57. In which 15 patients with chronic glomerulonephritis, hypertensive nephropathy in 10