"My husband has PCKD is on dialysis and has hypotension during treatment.
What are the causes? How to deal with this problem?"
Dialysis-induces hypotension in PCKD is a very severe clinical problem, which
is one of the most frequent complication that may diminish patient's life
quality, and increase mortality in people with renal replacement therapy.
The most common cause is decrease of blood volume due to dehydration too much
or too quickly. Other causes may also include:
1) Excess fluid weight gain. This means gaining too much weight between
dialysis sessions;
2) Long-term used of hypotonic solution;
3) A very weak heart;
4) Excessive BP medications;
5) Autonomic nerve dysfunction;
6) Being allergic to dialysis equipment.
What can we do to deal with this complication?
▪ Certain saline water can be injected in patient's blood vessels before the
start of the procedure. By doing this, we can avoid quick decline of blood
volume.
▪ Use high sodium dialysate.
▪ Do not eat foods during the treatment process.
▪ Receiving treatment in a low temperature environment can stimulate the skin
and lead to vasoconstriction. This has certain preventive effect.
Dialysis may be helpful to maintain a normal life of patients with PCKD, but
patients should be aware that it is not a treatment for the disease. It cannot
recover the kidney function, so patients has better adopt other effective
therapy while receiving renal replacement therapy and treat the disease from the
root.
The treatment should help us stop further deterioration of kidney
function, repair and restore the renal function so as to treat the renal disease
and get rid of dialysis.
