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Prevention of hypotension in hemodialysis patients and nursing
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Prevention of hypotension in hemodialysis patients and nursing
【Key Words】 Hemodialysis hypotension papers on preventive care
【Abstract】 Objective To reduce the incidence of hypotension in dialysis patients, and correct low blood pressure, to avoid a further decline in renal function, and cardiovascular disease complications. To analyze the reasons for low blood pressure occurs, and to prevent it. Results hypotension occurred significantly reduced. Conclusions to be the reason for the Prevention of hypotension, can effectively reduce the incidence of hypotension during hemodialysis.
Symptomatic hypotension in hemodialysis is a common complication. Dialysis hypotension may result in insufficient blood flow, resulting in difficulties in ultrafiltration, dialysis is not adequate, but also induce cardiac arrhythmia, angina pain, renal blood flow reduction and a further decline in residual renal function, acute renal failure re-Shi Kejia renal ischemic damage, delaying renal failure recovery time, fistula surgery prone to fistula closure. Therefore, by reducing the incidence of hypotension during hemodialysis to reduce mortality, improve patient quality of life is very important. Through analysis of the causes of low blood pressure, prevention and care for the cause of effectively reduce the incidence of hypotension.
An information and observation of indicators
1.1 Data from November 2000 ~ March 2004 dialysis patients in 69 cases, 600 people, of whom 15 cases of acute renal failure: 13 cases of epidemic hemorrhagic fever, high blood pressure in 1 case, drug-induced 1 case; 54 cases of chronic renal failure : Urinary tract obstruction incomplete in 7 cases, diabetic nephropathy in 14 cases, 15 cases of high blood pressure, nephritis, 14 cases of unknown causes in 4 cases. Hypotension 185 passengers. Accounted for 30.83%. Early dialysis hypotension in which 50 passengers, accounting for 8.3%, in 10
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