Hypotension

Question 1

What is the definition of Hypotension?

Answer 1

o Systolic BP <90 Diastolic BP < 50 or drop in systolic more than 20 mm/hg

Question 2

What is the cause of Hypotension?

Answer 2

o Rapid or inappropriate fluid loss, antihypertensive drugs, low blood volume, food ingestion,unstable cardiovascular condition

Question 3

Symptom:

Answer 3

Flushing, yawning, dizziness, ringing in the ears, tachycardia, anxious feeling, nausea/vomiting, cold clammy skin, seizures, cardiac arrest

Question 4

Intervention:

Answer 4

o Place patient in supine position
decrease UFR to minimum
water for less severe hypotension
100-200 mL NS for severe hypotension (NOTE: dialysis patient care technicians (PCTs) may give up to 200 ml of normal saline as allowed per state and local Board of Nursing regulations)
inform the licensed nurse for further evaluation and
intervention
monitor BP

Question 5

Prevention:

Answer 5

Frequent assessment of target weight
limit UFR to ≤13 mL/kg/hr
UF profiling
extend treatment time
pure ultrafiltration