What should I do if my blood pressure is low during dialysis for uremia

Generally speaking, kidney function problems caused by kidney disease are irreversible, but if they continue for a long time, it will cause a series of problems in the body's system functions, and generally develop into uremia in the later stages. Moreover, uremia generally does not exist alone. Generally, we use dialysis for uremia, which is also prone to low blood pressure. So, what should we do if the blood pressure is low during dialysis treatment for uremia?

Uremia actually refers to the toxicity caused by the human body's inability to produce urine through the kidneys to excrete metabolic waste and excess water from the body. Modern medicine believes that uremia is a series of complex syndromes caused by the disorder of biochemical processes in the body after the loss of renal function. During the uremia stage, in addition to further aggravation of water, electrolyte, acid-base imbalance, anemia, bleeding tendency, hypertension, etc., clinical manifestations caused by dysfunction of various organ systems and substance metabolism disorders may also appear. These include: nervous system symptoms, digestive system symptoms, cardiovascular system symptoms, respiratory system symptoms, skin symptoms and substance metabolism disorders, etc.

1. A low-protein diet should be adopted. Patients in the azotemia and uremia stages should mainly choose high-quality and high-biological-value animal proteins, such as fresh milk, eggs, fish, lean meat, etc., to supplement various essential amino acids. Although plants such as soybeans and peanuts contain protein, 1. Control the intake of water and sodium: measure and record your daily urine output. The daily water intake of dialysis patients is generally daily urine volume + 500 ml.

Measure body weight at a fixed time every day, and the weight between two dialysis sessions should not exceed 2 to 3 kg.

2. Care of arteriovenous fistula: Do not lift heavy objects, wear tight clothes or bandage the fistula-side limb too tightly. Keep the area clean to prevent infection; check whether it is unobstructed by touching it with your hands or using a stethoscope. If it is still and soundless, go to the hospital immediately for treatment.

3. Low-salt diet: Eat less salty food, especially various pickled foods, as these foods will reduce urine volume.

4. Pay attention to supplementing high-quality protein, such as lean meat, egg white, etc., and eat less plant protein such as soy products, corn, flour, etc.

5. Supplement vitamin D appropriately and eat less dry beans, offal, yeast and germ foods, as these foods will increase the calcium and uric acid levels in urine.

6. Avoid eating high-potassium and high-phosphorus foods, such as potatoes, bananas, oranges, etc.

Patients should not eat foods with high protein content, otherwise it will have a great impact on the body. They should also eat some foods with high vitamin D content. For example, patients should eat some animal bones on a regular basis, which will be of great benefit to the patient's own condition.