Wednesday, October 28, 2015

What Physical Changes Should Patients Who Experience Long-Term Hemodialysis Pay Attention

Monitoring Project predialysis include: the patient's weight, blood pressure, body temperature, pulse and the situation without bleeding.

1 Measurement of body weight is very important and should be the last dialysis dry weight and target weight comparison, to understand the situation between dialysis weight gain, excessive weight gain if the patient breathing difficulties, suffocation and other symptoms, should be more than water, re-evaluate dry weight.
2 High blood pressure may be related to excessive weight gain, in addition to strengthening other than water should be appropriate to reduce the concentration of sodium in the dialysate; if low blood pressure, may be adjustable sodium dialysis, in addition, you should inquire whether the day taking antihypertensive drugs.
3 The patient's body temperature should be measured, predialysis fever are signs of infection, to conduct a comprehensive inspection, the existence of fistula or lung infection.
4 Pulse monitor can detect whether the arrhythmia.
5 If a patient has hemoptysis, blood in the stool or nasal bleeding, etc., should be considered for heparin dialysis.
6 Dialysis care routine should include blood pressure and pulse measured once an hour, at the same time you want to observe the condition, watch for chest pain, itching, nausea, cramps and other symptoms. Identify problems in time.
7 After dialysis, to observe there are all uncomfortable symptoms, whether the blood pressure is normal, within the time and intensity of oppression fistula is appropriate to prevent fistula blockage is the key.
8 Also, regular blood biochemical examination, which is conducive to analysis of the disease, to determine the therapeutic effect, guide the correct treatment. Note cardiac function, with or without breath, chest tightness and discomfort, dry weight adjustment at any time.


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