Abstract
Episodes of symptomatic circulatory collapse occur in 25% of dialysis sessions. They not only compromise the patients well-being, but also interfere with the attempts of the dialysis team to reach and maintain dry weight. Basically there is nothing mysterious about dialysis hypotension (DH). Depending on the state of overhydration, the removal of 2–4 L of extracellular fluid is accompanied by a 10–30% decrease in blood volume in a few hours. It can be imagined that circulatory adaptation to this unphysiological change may occasionally fall short of complete compensation. It is logical therefore, that the occurrence of DH will be greatly enhanced by two events: 1. Insufficient dietary salt restriction causing excessive fluid gain and 2. Short dialysis.
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Mees, E.J.D. (2000). Dialysis hypotension. In: Cardiovascular Aspects of Dialysis Treatment. Springer, Dordrecht. https://doi.org/10.1007/978-94-017-0973-6_6
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DOI: https://doi.org/10.1007/978-94-017-0973-6_6
Publisher Name: Springer, Dordrecht
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