In Center Hemodialysis (ICHD) Complications

Question 1

Air Embolism

Answer 1

Dyspnea
Coughing
Chest tightness/pain
Cyanosis
Confusion
Visual Disturbances

Question 2

Anaphylaxis

Answer 2

Hives
Low back pain
Hypotension
Anxiety
Acute Respiratory Distress

Question 3

Angina

Answer 3

Chest pain
Difficulty breathing
Nausea

Question 4

Blood Loss

Answer 4

Hypotension
Blood on the floor or chair
Loss of consciousness

Question 5

Cardiac Arrest

Answer 5

Absence of pulse
Lack of respirations
Unresponsive

Question 6

Clotted Dialyzer

Answer 6

Visible clot in venous drip chamber or line
Dark blood
Increase in venous pressure
Unable to rinse back blood

Question 7

Crenation

Answer 7

Very dark red blood
Headache
Nausea
Vomiting

Question 8

Dialysis Disequilibrium Syndrome

Answer 8

Headache
Hypertension
Nausea
Vomiting
Restlessness
Convulsions
Coma

Question 9

Dialyzer Reaction

Answer 9

Back pain
Vague discomfort
Hives
Itching
Wheezing
Dyspnea

Question 10

Dysrhythmia

Answer 10

Irregular heart rate
Patient c/o palpitations

Question 11

Fever & Chills

Answer 11

Temp > 100F or 2F above baseline
Involuntary shaking
Hypotension

Question 12

Hemolysis

Answer 12

Anxiety
Restlessness
Nausea
Vomiting
Dyspnea
Chest Tightness
Hyperkalemia
Blood may appear like cranberry juice

Question 13

Heparin OVerdose

Answer 13

Bleeding around needles
Bruising
Prolonged bleeding post-dialysis
GI or retinal bleeding

Question 14

Hypertension

Answer 14

Headache
Dizziness
Elevated BP
Edema
Blurred Vision

Question 15

Hypotension

Answer 15

Drop in BP
Yawning
Dizziness
Ringing in ears
Tachycardia
Nausea
Vomiting
Diaphoresis

Question 16

Muscle Cramps

Answer 16

Painful muscle contractions

Question 17

Seizures

Answer 17

Convulsions
Change in level of consciousness

Question 18

Sterilant Infusion

Answer 18

Immediate pain/burning at venous access shortness of breath
Hypotension
Hemolysis