Logo
Pattern

Discover published sets by community

Explore tens of thousands of sets crafted by our community.

Hemodialysis Complications

10

Flashcards

0/10

Still learning
StarStarStarStar

Muscle Cramps

StarStarStarStar

Often due to hypovolemia, hyponatremia, or hypocalcemia. Prevention includes careful regulation of electrolytes and avoiding high ultrafiltration rates. Management includes stretching, warm compresses, and proper electrolyte replacement.

StarStarStarStar

Hemolysis

StarStarStarStar

Can be caused by mechanical damage or high chlorine levels in dialysate. Prevention includes regular maintenance of dialysis equipment and proper dialysate preparation. Management involves stopping treatment and supportive care.

StarStarStarStar

Anaphylactoid Reactions

StarStarStarStar

Caused by reaction to dialyzer membrane or sterilants, manifested by symptoms like itching or hypotension. Prevention includes using biocompatible membrane and proper rinsing of the dialyzer. Management involves stopping dialysis and symptomatic treatment.

StarStarStarStar

Cardiac Arrhythmias

StarStarStarStar

Electrolyte imbalances or coronary artery disease can lead to arrhythmias during dialysis. Prevention by careful monitoring and correction of electrolytes, and assessing cardiac risk factors. Management may involve ECG monitoring and appropriate medications.

StarStarStarStar

Hypotension

StarStarStarStar

Occurs due to rapid removal of volume leading to decreased cardiac output. Prevention includes proper fluid management prior to dialysis and gradual ultrafiltration. Management may include interrupting dialysis, leg elevation, and saline administration.

StarStarStarStar

Access site infection

StarStarStarStar

Can occur from bacterial contamination. Prevention involves strict aseptic technique and proper hand hygiene. Management includes antibiotics and potential removal of access if severe.

StarStarStarStar

Hypoxemia

StarStarStarStar

May occur from decreased oxygen carrying capacity due to blood loss or high ultrafiltration rates. Prevention includes monitoring oxygen saturation and careful fluid removal. Management may require supplemental oxygen or adjustment of ultrafiltration rate.

StarStarStarStar

Disequilibrium Syndrome

StarStarStarStar

Results from rapid changes in blood composition causing cerebral edema. Prevention by slow dialysis rate initially, especially in patients new to dialysis. Management includes reducing dialysis efficiency and supportive therapy.

StarStarStarStar

Air Embolism

StarStarStarStar

Occurs when air enters the blood through the vascular access. Prevention by ensuring all air is purged from the system before starting and avoiding disconnections. Management includes positioning the patient on the left side and in Trendelenburg, administering oxygen, and supportive measures.

StarStarStarStar

Vascular Steal Syndrome

StarStarStarStar

Ischemia of the hand caused by arterial insufficiency due to the vascular access for dialysis. Prevention by careful pre-operative vascular assessment. Management includes surgical revision of the access or sometimes access closure.

Know
0
Still learning
Click to flip
Know
0
Logo

© Hypatia.Tech. 2024 All rights reserved.