What are the acute complications of maintenance hemodialysis?

Patient’s kidney condition has worsened progression to renal failure and uremia, through hemodialysis can be the body of harmful and unnecessary waste and excessive electrolyte removed from the body, achieve the purpose of purifying the blood. At the same time, and the occurrence of nausea and vomiting associated with worsening kidney disease, anemia, fatigue, loss of appetite, listlessness, elevated blood pressure, breathing difficulties and comatose etc. directly endanger the life and health of patients with concurrent symptoms can be relieved.

What are the acute complications of maintenance hemodialysis?

Dialysis disequilibrium syndrome: major symptoms include nausea, vomiting, headache, fatigue, irritability, etc.. Its incidence can reach 10%-20%. Serious can have tic, quiver. The primary treatment is to give hypertonic solutions immediately, such as mannitol or hypertonic glucose intravenously, to give sedatives, and to suspend dialysis when necessary.

First use syndrome: mainly caused by the use of new dialyzer and pipes. More than a few minutes to 1 hours after the start of dialysis. According to the different performance is pided into type A and B. A manifestation of dyspnea, fever, sudden cardiac arrest. The light performance for pruritus, urticaria, cough, runny nose, tears, muscle cramps, diarrhea etc..

Hypotension: the incidence rate is 20%-40%. Typical hypotension is nausea, vomiting, sweating, pallor, dyspnea, and a drop in blood pressure.

Dialysis hypertension: mainly occurs in dialysis, late, the reason is not clear, and more stubborn, difficult to deal with. Headache during dialysis: relatively rare, with a prevalence of 5%, common causes of hypertension, and neuropathic headache.

Arrhythmia: the cause of arrhythmia is coronary heart disease, heart failure, pericarditis, severe anemia, electrolyte and acid-base balance disturbance, hypoxemia, hypotension and drugs. The incidence of arrhythmia was 50%.

Muscle spasm during dialysis: Although the cause of muscle spasms is not very clear, it may be related to hypoxia, low sodium and circulating blood loss during dialysis.

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