Management of nausea and vomitting during haemodialysis

Haemodialysis 5

 

Nausea and vomiting during dialysis can occur for a number of reason:

  1. Motion sickness from the journey to dialysis
  2. Food consumed just before or during dialysis. Dialysis may divert blood flow away from the gut
  3. Rapid fluid removal
  4. Hypotension
  5. Non-dialysis related reasons e.g. intercurrent illness

 

Prevention and management:

  • Address any intercurrent illness, seeking medical advice if required
  • Advice patient not to eat prior to and during dialysis
  • If nausea is related to travel, consider prescribing anti-emetics for the patient to take prior to commencing their journey
  • Commence dialysis slowly, increasing blood flow during first 30 minutes of treatment
  • If related to hypotension or excessive fluid removal refer to guidelines  for weight and blood pressure management on haemodialysis
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