hemodialysis in hypotension on the causes and care（血液透析中低血压的原因和护理）.docVIP

Hemodialysis in hypotension on the causes and care [Abstract] The main purpose of hemodialysis in hypotension-related causes and care. Methods From 48 cases of hemodialysis patients, hemodialysis times by 7326, of which 191 cases occurred in sub-dialysis hypotension, and its analysis of the situation The results after dialysis 2.5h highest incidence of hypotension, excessive ultrafiltration rate is too fast, and effective circulating blood volume caused by the lack of hypotension is the most common cause, followed by anemia, poor dialysis biocompatibility 2h after intake of dialysis high-temperature dialysis blood loss hemolysis factors Conclusion dialysis nurses should be a high sense of responsibility, observing closely, take the initiative to do missionary, to detect hypotension threatened to take preventive measures can effectively reduce the hypotension. [Keywords] low blood pressure because care 1 Materials and Methods 1.1 General Information Our hospital from January 2009 to December -2010 hemodialysis 48 patients, 25 males and 23 female, aged 19-80 years, 65 years and 11 cases, 65 years of age in 37 cases, diabetes in 9 cases, and more cystic kidney in 2 cases, the total dialysis 7326 times, of which 191 cases times of hypotension. 1.2 dialysis Dialysis machine for the DBB-27 machines, respectively, cellulose dialysis membrane, polysulfone membrane dialyzer reuse using peracetic acid disinfectant, all with bicarbonate dialysate, dialysis membrane, respectively: 1.4m2, 1.3m2, 1.5m2. 1.3 Clinical manifestations of Systolic blood pressure occurred during hemodialysis than 90mmhg or mean arterial pressure decreased 30mmhg, low blood pressure before the patient yawning, dizziness, vertigo, nausea, vomiting, irritability, then Italy, and other symptoms, if not promptly treated, the patient will be followed by cold sweat, pale, cold limbs, blurred vision, severe loss of speech, convulsions, incontinence and other symptoms of low bl