National Nursing Review : Nursing Study Resources & Health Tips

A – Hypotension
Is found in 20 to 30% of the sessions.
There are several etiologies: An excessive decrease in the volume, inadequate peripheral vasoconstriction (diabetic patients for example), or cardiac function improperly or failed.
Clinical: Sudden fall in blood pressure, feeling sick (hot flashes, discomfort, tachycardia, possibly loss of consciousness). Yawning is often a precursor met.
What to do:

• Reducing the speed of the pump blood ..
• Last sloping patient.
• Intake of saline (on prescription)
• Eventually, put under O2 (depends on service protocols)

Prevention:

• Never ultrafilter patients below its base weight.
• Weight gain rigorous
• Avoid taking anti-hypertensive before the dialysis session
• Rate of Na in the dialysis at a concentration equal to or lower than the patient. (Reminder: the Na profile is a prescription)

B – angina
Aggravating factors: anemia, decrease in BP, in hyper-debit FAV
What to do:

• Preventing nephrologist
• UF minimum
• Decreased blood flow
• O2 nasal + scope
• possibly following protocols, use nitroglycerin sub-lingual.
• If the crisis continues, stopping hemodialysis, restitution, perform ECGs, biology (KPC / CPKMB / LDH etc. ….), transfer in a specialized

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