Managing hypotensive episodes during dialysis part 4

Haemodialysis 5

 


In patients with chronic hypotension:

  • Perform cardiac work up to rule out cardiac causes
  • Use haemodiafiltration not standard haemodialysis
  • Consider suitability for more frequent dialysis whether at home or in centre
  • Consider use of compression stockings and advise re-postural symptoms
  • where transplant listed, ensure that transplant team aware that may need perioperative inotropes
  • Ensure very close observation of dialysis access; lower blood pressure may accentuate haemodynamic effects of any vessels stenosis
  • Consider screening for ischaemic proliferative retinopathy
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