EBPG Hemodialysis - Hemodynamic Stability I

WHAT IS THE DEFINITION OF INTRA-DIALYTIC HYPOTENSION (IDH) PROPOSED BY EBPG GUIDELINES?

	Just a decrease in systolic BP? 50 mmHg recorded during a single haemodialysis session
	A decrease in mean arterial pressure (MAP) by 10 mmHg
	A decrease in systolic BP? 20 mmHg
	A decrease in systolic BP? 20 mmHg or a decrease in mean arterial pressure (MAP) by 10 mmHg associated with clinical events and need for nursing interventions
	All the above answers

WICH ONE OF THE FOLLOWING ITEMS IS CONSIDERED TO BE FUNDAMENTAL IN THE ASSESSMENT OF DRY WEIGHT IN DIALYSIS PATIENTS?

	Physical examination and, if possible, inferior caval vein diameter assessed by echography
	Multifrequency bioimpedance analysis only
	Cardiothoracic ratio by X ray
	All the above
	Physical examination

INTRADIALYTIC HYPOTENSION (IDH) IS MAINLY DUE TO

	Ultrafiltration rate
	Hydration state of the interstitial compartment
	Dialysate sodium concentration
	Capillary permeability, venous compliance and protein balance
	All the above

WHICH IS THE FACTOR OR FACTORS RELATED TO DIALYSIS TREATMENT THAT IS OR ARE DEFINETLY LEVEL I EVIDENCE IN DIALYSIS STABILITY?

	Dialysis membranes
	Sodium and calcium in dialysate cool
	Dialysate temperature
	Magnesium concentration in dialysate
	Convective techniques

MIDODRINE IS AN ORAL ALPHA 1 AGONIST AND IT SHOULD BE CONSIDERED IF OTHER TREATMENT OPTIONS HAVE FAILED. WHAT IS THE STARTING AND THE MAXIMAL DOSE SUGGESTED IN DIALYSIS PATIENTS WITH UNTREATABLE IDH?

	2.5 mg 30 minutes before dialysis and maxime dose 10 mg
	1.5 mg in the midlle of a dialysis session
	5 mg after dialysis session
	3.4 mg 30 minutes before dialysis
	The dosage should be tailored in each patient