COMPLICATIONS DURING DIALYSIS AND REASONS FOR INTERRUPTION OF HEMODIALYSIS
DOI:
https://doi.org/10.54620/cadesp.v18i1.1871Keywords:
Renal Dialysis, Hypotension, Withholding TreatmentAbstract
Hemodialysis is a procedure to remove harmful metabolic waste from the blood. Complications during the dialysis procedure are related to the patient's clinical condition, the quality of the hemodialysis, and the hydroelectrolytic imbalance. The main complications described during the dialysis procedure include: hypotension, hypoglycemia, muscle cramps, nausea, vomiting, headache, chest and back pain, fever, and chills. The objective of this study was to describe the main complications during the dialysis procedure and the reasons for hemodialysis suspension. A retrospective, descriptive, and quantitative approach was used. From July to August 2023, we analyzed 906 hemodialysis sessions performed by 89 patients and their reported complications. Arterial hypotension was identified as the most prevalent event during the sessions, occurring in 30.5% of them. A total of 78 sessions were suspended, with arterial hypotension being the most frequent cause of hemodialysis procedure suspension. This study demonstrates the need to develop strategies to monitor and intervene in the factors leading to session suspension. The action should be multifactorial and involve the entire healthcare organization, engaging professionals involved in patient care, mastering each complication and its intervention.
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Accepted 2024-03-11
Published 2024-09-13