2014年2月14日星期五

Why Low Blood Pressure after Dialysis

Why is there low blood pressure after dialysis? Creatinine is an important index which indicates whether kidney disease patients need to take dialysis. Generally, in western countries, kidney failure patients begin to take dialysis when creatinine is more than 450umol/L, which can help discharge the small toxic molecules such as urea acid, urea nitrogen and so on besides creatinine, thus relieving the damage to the body and lessen burden to the kidney.
However, in the course of the dialysis, about 20% to 40% of kidney disease patients have low blood pressure, which even make some weak person in coma. Some yawn, feeling urinating, have pain in lower back, and then feel nausea, have pale face, sweat, hard to breathe, and so on. How should we avoid this?
1. If kidney disease under dialysis loose consciousness, doctor should give him injection of 100 to 200 ml saline or 50% glucose. If the injection of liquid is more than 500 ml but still can not make it, we should check if there are other causes.
2. Kidney disease patients themselves should also control the intake of water, salt and protein.
3. Set proper dry body weight. Ultrafilter should not be excessive when dialysis.
4. Bicarbonate should be applied during the treatment of dialysis.
5. The density of sodium in dislysate should be lower than the density of sodium in blood.
6. Kidney disease patients who have low blood pressure should not take in hypotensor before dialysis.
7. Correct the anemia and add carnitine.

Last but not least, considering the side effects of low blood pressure after dialysis, specialists in Shijiazhuang Kidney Disease Hospital created Micro-Chinese Medicine Osmotherapy which can help kidney disease patients escape from dialysis for it can not only discharges the toxins but also repair the damaged cells in the kidney.

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