EBPG HD New - Hemodynamic Instability Part II

Tick the right answers regarding the intradialytic hypotension (IDH):

	Influenced by dialysis membranes
	Influenced by dialysis duration
	Calcium concentration in dialysate is the only dialysate compound able to modify IDH
	Influenced by dialysate temperature
	Influenced by dialysis frequency

Tick the right answers regarding the effects of dialysate and body temperature on intradialytic hypotension (IDH)

	External methods to decrease body temperature can be used
	Dialysate temperatures < 35°C should be prescribed in patient with frequent episodes of IDH
	Dialysate temperature should be gradually reduced in steps of 0.5°C from 36.5°C until symptoms are controlled
	Cool dialysate temperature dialysis (35-36°) should be prescribed in patient with frequent episodes of IDH

Tick the right answers. To prevent intradialytic hypotension (IDH) we may:

	Use antihypertensive agents prior to the dialysis session
	Use an oral alpha 1 agoniste (Midodrine)
	Use L carnitine supplementation if other treatment options have failed
	Reduce dialysis time

Tick the wrong answers regarding the treatment of intradialytic hypotension (IDH)

	It is not necessary to stop ultrafiltration during an episode of IDH
	Trendelenburg position should be considered in the treatment of IDH
	Isotonic saline is effective in the treatment of IDH
	Antihypertensive drugs can be used

Tick the right answers regarding the first line approach to prevent intradialytic hypotension (IDH)

	Perform hepatic evaluation
	Check dosing and timing of antihypertensive agents
	Use of dialysate temperature of 38.5°C
	Clinical reassessment of dry weight