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Hemodialysis will appear muscle spasms, how should prevent?

Hemodialysis will appear muscle spasms, how should prevent?

Muscle spasms occur essentially in the middle and late stages of hemodialysis. Once the emergence of the first we should find incentives, and then take measures according to the reasons, and later in the dialysis to take measures to prevent...


Muscle spasms occur essentially in the middle and late stages of hemodialysis. Once the emergence of the first we should find incentives, and then take measures according to the reasons, and later in the dialysis to take measures to prevent the recurrence.

The reason is the key to treating hemodialysis. Dialysis in low blood pressure, low blood volume, ultrafiltration speed and the application of low sodium dialysate treatment and other causes of muscle perfusion reduction is caused by dialysis muscle spasms most common causes; blood electrolyte disorders and acid-base imbalance can also cause muscle Spasm, such as hypomagnesemia, hypocalcemia, hypokalemia and so on.

Hemodialysis treatment should be based on the cause of the appropriate measures to take, can quickly infusion of saline 100ml, hypertonic glucose solution or mannitol solution, the spasm muscles external compression massage also have a certain effect.

We should also be on the possible predisposing factors, take measures, how can we prevent muscle spasms?

(1) to prevent dialysis hypotension and dialysis interval weight gain too much, each dialysis interval weight gain does not exceed 5% of dry weight.

(2) appropriate to improve the dialysate sodium concentration, using high sodium dialysis or sequential sodium concentration dialysis. But should pay attention to patients with blood pressure and dialysis interval weight gain.

(3) to actively correct hypomagnesemia, hypocalcemia and hypokalemia and other electrolyte disorders.

(4) to encourage patients to strengthen muscle training.

Tong Shantang hospital use of micro-traditional Chinese medicine therapy, assisted patient treatment, for dialysis treatment to create good conditions. This treatment helps the active substance in herbs to occur directly in the kidney lesion, thus delivering enough blood, oxygen and nutrients in the kidney. In this way, the renal function is restored well and gradually gets rid of dialysis.

TAG:Hemodialysis

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