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Intradialytic Morbidities

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Intradialytic Morbidities

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    1. Intradialytic Morbidities Root Cause Analysis Posture Low O2 saturation / Oxygen carrying capacity Medications / Antihypertensives Incorrect Ultrafiltration rate: Hyper/Hypovolemia Hypotonic environment / Hypoalbuminemia Dialysate = body temp: core body heating Splanchnic vasodilatation secondary to eating Severe anemia (Hct = 30) / Occult hemorrhage Electrolyte / Acid-Base Imbalances Unstable cardiovascular status / Arrhythmias / Pericardial tamponade / MI / Poor Ejection Fraction High Output Failure r/t high access blood flow Residual Urinary Output > 800 ml / day Septicemia Dialyzer reaction, Hemolysis and Air embolisim Root Cause Analysis Via The Crit Line Monitor Position effects Hypoxemia Oxygen carrying capacity (1.39 x Hgb x SaO˛) Hypervolemia Hypovolemia UFR is incorrect: too fast / too slow Patient is at dry weight Effects/ need for hypertonic; replacement fluid Effects of eating Anemia Low cardiac output ( SvO2 ) - Low SaO˛ - Low Hct - Poor ejection fraction - Heart rate too fast / too slow / irregular - Hypervolemia / Hypovolemia

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