Hemodialysis is widely used on people with
Uremia/End-Stage Kidney Disease. Most
of the people with end-stage kidney
disease need to receive hemodialysis for a long time. In the process of
hemodialysis, there are some complications can be caused.
Complications of hemodialysis
Cramps
Cramps occur normally in lower limbs, abdomen, even the chest toward the end
of the hemodialysis procedure after a significant volume of fluid has been
removed by ultrafiltration. Blood pressure decreasing may be accompanied with
cramps. In addition, people who begin to receive hemodialysis are easy to have
cramps.
Hypotension-Low blood pressure How Much Creatinine Level Comes Down After Dialysis
One of the most common complications of hemodialysis is hypotension, which
can cause serious insufficiency of blood to heart and brain. Therefore it is
better to avoid hypotension. When it presents, treat it as soon as possible.
Prevention of too fast and too much dehydration in hemodialysis can help reduce
incidence of hypotension. How We Can Reduce Dialysis in CKD (Chronic Kidney Disease)
Hypertension-high blood pressure
It is more common in the mid term and late term of receiving hemodialysis
with unknown reason. Normally there are no complains when this kind of high
blood pressure presents. In severe cases, headache, nausea and vomiting can be
caused. Most of the time, those symptoms will relieve after hemodialysis.
Arrhythmia
Patients on maintenance hemodialysis are at risk of cardiac arrhythmias. They
occur predominately in association with hemodialysis or may occur in the
interdialytic period. Both acute and chronic alterations in fluid, electrolyte,
and acid-base homeostasis may be arrhythmogenic in these patients.
Pericarditis and hydropericardium Can Hemodialysis Be Used to Reverse Rising Creatinine Levels
Symptoms such as sense of suppression in the chest, feel suffocated; can not
lie on one’s back, cough and asthma when one moves, etc will present.
Febrile reactions If There Are Any Side Effects of Hemodialysis
Febrile episodes should be aggressively evaluated with appropriate wound and
blood cultures. The suspicion of infection should be high. Treatment of
endotoxin related fever is generally supportive with antipyretics. Temperatures
should be recorded at the initiation and termination of dialysis treatment.
Incidence of various complications of hemodialysis
Hypotension — 25 to 55 percent of treatments
Cramps — 5 to 20 percent
Nausea and vomiting — 5 to 15 percent
Headache — 5 percent
Chest pain — 2 to 5 percent
Fever and chills — less than 1 percent
Hemodialysis can cause many complications, but recieving dialysis sometimes
is neccessary .