Presentation on theme: "Overview of Profiling for Hemodialysis"— Presentation transcript:
1 Overview of Profiling for Hemodialysis Overview of Profiling for Hemodialysis
2 ObjectivesUpon 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
3 What 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
4 Why 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.
5 Patient Symptoms: Hypotension Headache and Loss of Consciousness CrampingAnginaNausea and Vomiting
6 Hypotension 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
7 Treatment 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.
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