Effect of Pre-dialysis Serum Sodium Measurement on Reduction of Hemodialysis Complications

Authors

  • Khadijeh Yazdi Nursing Research Center, Golestan University of Medical Sciences, Gorgan, Iran Author
  • Sara Saadatmand 5-Azar Educational and Medical Center, Golestan University of Medical Sciences, Gorgan, Iran Author
  • Einollah Mollai Nursing Research Center, Golestan University of Medical Sciences, Gorgan, Iran Author
  • Maliheh Abbasi Nursing Research Center, Golestan University of Medical Sciences, Gorgan, Iran Author
  • Majid Dastorani Metabolic Disorders Research Center, Golestan University of Medical Sciences, Gorgan, Iran Author
  • Saeid Amirkhanlou Department of Internal Medicine, Clinical Research Development Unit (CRDU), Shahid Sayad Shirazi Hospital, Golestan University of Medical Sciences, Gorgan, Iran Author

Abstract

Introduction. Despite great advances in hemodialysis, complications during dialysis remain in force. Accurate assessment of dry weight is a determining factor in the prevention of hemodialysis complications. This study is designed to evaluate the effect of adjustment of ultrafiltration rate, on hemodialysis complications, based on dry weight calculation, by measuring the pre-dialysis serum sodium. Methods. In this single-blind clinical trial 50 patients were included. The patients were randomly divided into case and control groups. First, in the intervention group, the blood sodium level was measured before dialysis. Then, the dry weight of the patients was determined, ultrafiltration was adjusted according to the dry weight, and the patients’ dialysis program was performed. In the control group, dry weight was determined routinely. Blood pressure, muscle cramps, nausea, and vomiting were recorded in both groups for 3 months. Results. The results showed a significant difference between the two groups in the rate of postoperative nausea and vomiting (P < .05) and muscle cramps during dialysis (P < .05). There were no significant differences between the two groups in blood pressure drop during dialysis and fatigue after hemodialysis in the first, second, and third months (P > .05). Conclusion. Accurate assessment of dry weight by the pre-dialysis blood sodium formula, reduces muscle cramps, nausea, and, vomiting.

 

DOI: 10.52547/ijkd.7170

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Published

2023-04-12

Issue

Section

ORIGINAL | Dialysis

How to Cite

Effect of Pre-dialysis Serum Sodium Measurement on Reduction of Hemodialysis Complications. (2023). Iranian Journal of Kidney Diseases, 17(2), 79-85. https://www.ijkd.org/index.php/ijkd/article/view/7170

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