Nuring Care of Dialysis

First, the complications of care
The incidence of complications in hemodialysis rapidly and endangering the lives of uremic patients, nurses have keen powers of observation, eye acute grassland, calm and, if found, inform the doctor in a timely manner to deal decisively with.
(1) low blood pressure: The most common incidence of 50% to 70%. Refers to the mean arterial blood pressure decreased than before dialysis 30mmHg or systolic blood pressure dropped to 90mmHg following. Uremic patients showed a cold sweat, nausea, vomiting, pale, breathing difficulties, rapid heartbeat, severe cases, loss of consciousness or even coma, immediately stop ultrafiltration, slow down blood flow, before opening the pump tube small folder, close the arterial tube folder, infusion of saline 100 ~ 200ml.
Disequilibrium syndrome: the performance of headache, nausea, vomiting, irritability, muscle cramps, high blood pressure severe cases, convulsions, stiff, coma or even death. Found, according to the doctor's advice infusion of hypertonic saline 40ml or 50% glucose 40 ~ 60ml (diabetes disabled).
Muscle spasm, the elderly, more common, the gastrocnemius multiple, spasmodic pain, local massage, hot packs, if necessary, infusion of hypertonic saline or hypertonic sugar. In non-diabetic patients, the preferred hypertonic sugar.
Second, dialysis care
(1) Measurement of body weight is estimated dialysis effect.
2 bed observation shall not leave the dialysis room, to inform doctors handle smooth and then go low blood pressure of patients with uremia.
Puncture site hemostasis strength is moderate, press 10 ~~ 15min.
Control of intake in uremic patients, to prevent excessive weight gain, diet containing adequate protein and calories, high quality protein-based, such as eggs, milk, lean meat, fish, control of potassium, phosphorus camera, into vitamin supplements .