Correlative factors of hypotension and nursing interventions to maintenance hemodialysis patients
10.3969/j.issn.1671-8283.2013.03.004
- VernacularTitle:维持性血液透析患者低血压发生的原因分析及护理
- Author:
Xiaoying ZHANG
;
Wei LU
- Publication Type:Journal Article
- Keywords:
hemodialysis;
hypotension;
nursing
- From:
Modern Clinical Nursing
2013;(3):12-14
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the correlative factors of hypotension among hemodialysis patients and to come up with nursing interventions.Methods The histories of 49 maintenance hemodialysis patients were retrospectively reviewed to find out the correlative factors of hypotension and summarize the nursing strategies.Results The major factors for hypotension included large volume of dehydration and fast speed of dehydration in 22 cases,malnutrition and hypoproteinemia in 8 cases,severe anemia in 6 cases,dysfunction of the autonomic nervous system in 5 cases,low concentration of sodium or high temperature of dialysate in 4 case and medication errors and eating too much before or during dialysis in 4 cases.Conclusion The nursing strategies including control of weight,correct assessment of dry weight,right performance of low temperature hemodialysis and sodiun profile hemodialysis as well as mental care to those with depression are critical for prevention of hypotension development in patients undergoing maintenance hemodialysis.
