Presentation on theme: "Overview of Profiling for Hemodialysis"— Presentation transcript:
1Overview of Profiling for Hemodialysis Overview of Profiling for Hemodialysis
2ObjectivesUpon completion of this program, the participant should be able to:Define profiled dialysis.Discuss the goals of profiled dialysis.Define mechanisms involved during conductivity profiling and UF profiling.Apply what is learned to individual cases in the clinical setting.Read the slide
3What is Profiled Dialysis? The manipulation of dialysate conductivity or rate of Ultrafiltration (UF)The goal of profiled dialysis is:To control sodium and fluid removalTo maintain patient equilibriumTo minimize or eliminate the side effects of dialysis
4Why Use Dialysis Profiling? Patients may survive longerImproves tolerance to dialysis treatmentsCurrently in dialysis treatments without Profiling, there is a 30% - 40% incidence of side effects, including:Nausea, vomitingHypotensionAnginaCrampingVascular InstabilityApplying profiling to dialysis treatments may reduce or eliminate untoward treatment side effects.
5Patient Symptoms: Hypotension Headache and Loss of Consciousness CrampingAnginaNausea and Vomiting
6Hypotension in HD Contributing factors : Decreased cardiac reserve The ability of the heart to respond to the body’s needsContributing factors :Decreased cardiac reserveDeclining plasma osmolalityHigh UF rates, volume depletionAntihypertensive drugsAutonomic nerve dysfunctionSodium and solute lossBlood vessels do not respond to low blood pressure
7Treatment of Hypotension Assess “dry” weight accuratelyAssure the correct dialysate concentrationsNa+ > 140 mEq/l, bicarbonate bufferUse of sequential UF then dialysisOthersLower dialysate temp from 37ºC to 35ºCProper positioning the patientNormal saline bolusHypertonic salineAnd now, you can add Conductivity Profiling and/or Ultrafiltration Profiling to your list of treatment options.