Study The Effect of Na concentration, Dialysate Temperature on Intra Dialytic Hypotension on Regular Hemodialysis Patients
Elhendi, Y., Saleh, H., Mahmoud, H. (2023). Study The Effect of Na concentration, Dialysate Temperature on Intra Dialytic Hypotension on Regular Hemodialysis Patients. EKB Journal Management System, 91(1), 5030-5035. doi: 10.21608/ejhm.2023.301787
Yasser Abdel- Monem Elhendi; Heba Mohamed Saleh; Hayat Mahmoud Mahmoud. "Study The Effect of Na concentration, Dialysate Temperature on Intra Dialytic Hypotension on Regular Hemodialysis Patients". EKB Journal Management System, 91, 1, 2023, 5030-5035. doi: 10.21608/ejhm.2023.301787
Elhendi, Y., Saleh, H., Mahmoud, H. (2023). 'Study The Effect of Na concentration, Dialysate Temperature on Intra Dialytic Hypotension on Regular Hemodialysis Patients', EKB Journal Management System, 91(1), pp. 5030-5035. doi: 10.21608/ejhm.2023.301787
Elhendi, Y., Saleh, H., Mahmoud, H. Study The Effect of Na concentration, Dialysate Temperature on Intra Dialytic Hypotension on Regular Hemodialysis Patients. EKB Journal Management System, 2023; 91(1): 5030-5035. doi: 10.21608/ejhm.2023.301787

Study The Effect of Na concentration, Dialysate Temperature on Intra Dialytic Hypotension on Regular Hemodialysis Patients

The Egyptian Journal of Hospital Medicine
Article 197, Volume 91, Issue 1, April 2023, Page 5030-5035  XML PDF (523.07 K)
Document Type: Original Article
DOI: 10.21608/ejhm.2023.301787
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Authors
Yasser Abdel- Monem Elhendi; Heba Mohamed Saleh email ; Hayat Mahmoud Mahmoud
Abstract
Background: Intradialytic hypotension (IDH) is common complication in stage 5 chronic kidney disease patients on hemodialysis. Incidence ranges from 15 to 30%.
Objective: This study aimed to check the effect of Na concentration, dialysate temperature on intra dialytic hypotension on regular hemodialysis patients.
Patients and Methods: Our sample consist of 84 patient we divide them into 2 subgroups: Group 1 (Test group) included 42 patient. Group 2 included 42 patient (placebo). Group1 divided into: O L carnitine group 11 patient, O NA and temperature group (21 patient: (A: 7, B: 7 and C: 7). O WT based UF group (10 patient). Group 2 divided into: P1 (11 patients), P2 (21 patient: (A: 7 B: 7 C: 7). P3 (10 patient). All sub groups were monitored for 6 months. In order to know the effect of changing dialysate NA and temperature during hemodialysis session. In this paper we studied only changes to dialysate NA and temperature.
Results: Regarding the mean Pre-HD SBP was 131.4 ± 17.56 in group Na, T. The mean Pre-HD DBP was 80.20 ± 9.19 in group Na, T. The mean Post-HD SBP was 119.23 ± 11.45 in group Na, T. The mean Pre-HD DBP was 71.20 ± 5.54 in group Na, T. The mean Pre-HD SBP was 130.15 ± 16.21 in group P. The mean Pre-HD DBP was 79.55 ± 8.22 in group P. The mean Post-HD SBP was 129.79 ± 15.23 in group P. The mean Pre-HD DBP was 76.78 ± 5.43 in group P. There were high significant difference between pre and post in Na, T group as regards SBP and DBP (mmHg). There were insignificant difference between pre- and post- in P group regarding SBP and DBP (mmHg).
Conclusion: We found significant difference between subgroups regarding dialysate NA and T.
 
Keywords
Na concentration; Dialysate temperature; Intra dialytic hypotension; Regular hemodialysis
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