Managing hypotensive episodes during dialysis part 2

Haemodialysis 5

 

Immediate action if clinically significant hypotensive episode occur:

  • Place the patient in the Tredelenburg position
  • Stop ultrafiltration and re-assess fluid loss. Keep off ultrafiltration for at least 10-15 mins
  • Administer oxygen
  • Administer 150 bolus of sodium chloride 0.9%
  • If recovery not within 5 minutes consider need for medical review
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