Muscle spasm dialysis late how to do

Dialysis patients in dialysis is likely to occur in the late muscle cramps, mainly due to low blood pressure, ultrafiltration too much too fast, dry weight settings are not accurate and factors of age area. In the end how to prevent it? Here experts come to you to explain.

Strengthen dietary management

For patients undergoing maintenance hemodialysis, to science diet, control excessive weight gain between dialysis, too fast. Appropriate increase in protein, vitamin intake can improve the nutritional status, adhere to low-salt diet, strict control of water intake. Daily changes in body weight should not exceed 1kg, dialysis weight difference between the two is not more than 3% to 5% of the dry weight, in order to avoid excessive ultrafiltration dialysis.

Adjustable sodium dialysis

With adjustable sodium dialysis, by increasing the dialysate sodium concentration, it can significantly reduce the incidence of muscle spasm, but the high sodium hemodialysis can lead to thirst, dry period between hypertension and hemodialysis excessive weight gain. Curve using sodium dialysis, decreased sodium concentration, so that both maintain a steady blood pressure, and avoid dialysis thirst and other symptoms, and because the effective volume is relatively stable, reduce the incidence of muscle cramps.

Adjustment hypotension

Prevention of hypotension can eliminate seizures. Patients using more water pigwash stay alternating sequential dialysis does not cause changes in the concentration of solute pure ultrafiltration, the plasma protein concentrate, colloid osmotic pressure rises, the water from the cells, interstitial move into the blood vessels, which reperfusion , blood pressure stability, to avoid the onset of muscle cramps.

Adequate dialysis

Only adequate dialysis, to correct anemia and acidosis, effective way to remove toxic substances in the blood increased DPG, improved dialysis muscle tissue hypoxia and metabolic abnormalities. HD can also be used alternately with hemofiltration strengthen cleared molecular substances, reducing excitability of the part of the muscle system, reducing spasm. For those who usually have hypocalcemia, vitamin D preparations and calcium carbonate can be used to correct, such as dialysis suspected ionized calcium falls, can intravenous calcium supplementation.

Dialysis muscle cramps late how to do? In addition to the above control methods in the late dialysis, prone to spasm of the muscle groups, to take appropriate traction, massage, moist heat, etc., to prevent cramps also have some effect.

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