CHRONIC KIDNEY DISEASE

ACUTE INTRADIALYTIC COMPLICATIONS IN CHRONIC KIDNEY DISEASE PATIENTS ON HEMODIALYSIS.

Abstract

Introduction: Hemodialysis is a process of removal of waste products and
toxic substances from the body using an extracorporeal system. During the procedure, lots
of hemodynamic and metabolic changes occur in the body as a result of which patients
undergoing hemodialysis may suffer from complications both acutely during or just after dialysis
as well as in long term. Objective: To determine the frequencies of various acute intradialytic
complications in our hemodialysis patients. Study Design: Cross sectional survey. Setting:
Lahore General Hospital, Lahore. Period: 3 months from May 2017 to July 2017. Method:
End stage renal disease patients on regular hemodialysis in the dialysis unit of a tertiary care
hospital. A total of 81 patients were included in the study. Patients with acute renal failure and
acute on chronic renal failure were excluded from the survey. Results: Common complications
observed in our studied population included muscle cramps (70.7%), post dialysis fatigue
(57.3%), back ache (56.1%), intradialytic shivering (57.3%), hypoglycemia (21.4%), hypotension
(37.8%), hypertension (8.5%), headache (13.4%), vomiting (13.4%) and anaphylaxis in 2.4%.
Conclusion: Hemodialysis is a complex procedure and can cause many complications most
of which are not life threatening. With proper monitoring and immediate treatment these
complications can be overcome without causing interruption in hemodialysis.