Hypotension is a common symptom of dialysis that is likely to link with
filtration of too much water in renal failure patients. It continues to be a
leading problem, especially in the elderly an cardiovascularly compromised
patients. Hypotension does not only cause discomfort, but also increases
mortality, according to recent data. So prevention of hypoteinsion remains an
important challenge for the dialysis physician. Hypotension stops the dialysis
leading to inadequate dialysis and influencing the effects of dialysis, even
threatening life. A good control of blood pressure can improve the effects of
dialysis, improve quality of life and prolong lifespan. What is the treatment of
hypotension renal failure during dialysis?
If any ailments occur during dialysis, tell your doctor as soon as possible
so as to deal with the complications immediately. Before starting dialysis,
learn some about dialysis and how to do when illness feelings occur. Renal
failure is a chronic and progressive disease, plus the pains during dialysis so
most patients often feel depressed and hopeless. The nurses need to help them
eliminate the panic and set up confidence in fighting with disease to cooperate
with doctors.
Evaluate the dry weight and fluid removed from the body. Accurately calculate
dry weight in case of excessive fluid removed out of the body. Before starting
dialysis, recorder the symptoms that patients have such as swelling, fast
heartbeat, shortness of breath, fever, nausea and vomiting. Increased dry weight
is considered when symptoms are alleviated; urine output is increased; swelling
is decreased. For patients who often experience hypotension, it is necessary to
reduce the dose of drugs on high blood pressure before dialysis.
Record blood pressure levels during dialysis. Low blood pressure often occurs
within1-2 hours after meals. The signs of hypotension include nausea, vomiting,
dizziness, sweats, sleepiness, pale look, confusion. If one or more of the signs
occur, monitor blood pressure and oxygen is provided to patients.
For renal failure patients, seeking an alternative treatment other than
dialysis is wise because dialysis is not a cure for renal failure.
