Dialysis management of severe cramps

Haemodialysis 5

 

Dialysis management in severe cramps:

Immediate:

  • Reduce ultrafiltration rate
  • Reduce blood flow rate
  • Massage limb if possible
  • Administer oxygen
  • Administer 0.9% sodium chloride (or machine prepared solution) in measured boluses
  • Re-assess fluid removal and patient dry weight

 

Then:

  • Re-educate patient re-fluid intake if weight gain is excessive
  • Measured native urine output and maximise with diuretics
  • Refer to dietitian to review sodium intake
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