【持续性肾脏替代治疗CRRT英文精品课件】Introduction to hemodialysis (45p).pptVIP

* * * * * * * * * * * * * * * * * * * * * * * * * * * Management of intradialytic hypotension Trendelenberg position Bolus of 0.9% saline Shut off ultrafiltration Albumin, mannitol, hypertonic saline can be used as an alternative Dialysis disequilibrium syndrome Neurologic symptoms of varying severity that are thought to be due primarily to cerebral edema Reverse osmotic shift Intracerebral acidosis and idiogenic osmoles Early findings Headache, nausea, disorientation, restlessness, blurred vision, and asterixis Late findings Confusion, seizures, coma, and even death Prevention The initial