Presentation on theme: "1 Overview of Profiling for Hemodialysis. 2 Objectives Upon completion of this program, the participant should be able to: Define profiled dialysis. Discuss."— Presentation transcript:
1 Overview of Profiling for Hemodialysis
2 Objectives Upon 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.
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 removal –To maintain patient equilibrium –To minimize or eliminate the side effects of dialysis
4 Why Use Dialysis Profiling? Patients may survive longer Improves tolerance to dialysis treatments Currently in dialysis treatments without Profiling, there is a 30% - 40% incidence of side effects, including: –Nausea, vomiting –Hypotension –Angina –Cramping –Vascular Instability Applying profiling to dialysis treatments may reduce or eliminate untoward treatment side effects.
5 Patient Symptoms: Hypotension Headache and Loss of Consciousness Nausea and Vomiting Angina Cramping
6 Hypotension in HD Contributing factors : –Decreased cardiac reserve –Declining plasma osmolality –High UF rates, volume depletion –Antihypertensive drugs –Autonomic nerve dysfunction The ability of the heart to respond to the body’s needs Sodium and solute loss Blood vessels do not respond to low blood pressure
7 Assess “dry” weight accurately Assure the correct dialysate concentrations –Na+ > 140 mEq/l, bicarbonate buffer Use of sequential UF then dialysis Others –Lower dialysate temp from 37ºC to 35ºC –Proper positioning the patient –Normal saline bolus –Hypertonic saline Treatment of Hypotension And now, you can add Conductivity Profiling and/or Ultrafiltration Profiling to your list of treatment options.