Ideally <140/80mmHg. Acceptable up to 160 systolic and 90 diastolic. Higher systolic may be acceptable in patients with a wide pulse pressure and where rapid falls occurs with dialysis.
- If blood pressure has been gradually increasing then consider whether dry weight reduction is required
- If blood pressure persistently > 160/90mmHg then obtain some interdialytic recordings for review by consultant. Ensure up to date information on antihypertensive medications and doses
- If blood pressure is markedly lower than previous pre-dyalisis recordings consider whether patient is unwell; e.g. sepsis, dehydration
Ideal pulse rate is 60-100 bpm and should be comparable with previous pre-dialysing recordings
- Feel rhythm manually to check pulse is regular in addition to machine recording
- Outside of this range consider dehydration, sepsis, cardiac arrhytmia