Sep 29, '06
We sometimes give a half amp of Mannitol spaced an hour apart but not the last hour. Albumin if the lab value is low. There is always a gradient shift in full HD mode that can be another ingrediant for hypotension. That's why running in bypass works for extra fluid removal. Slowing the BFR and the DFR also helps slow the shift. Lowering the dialysate temp a degree also helps sometimes. The machine temp should match the patient's temp and not automatically be set to one standard. Be careful with the hypertonic sodium and for that matter raising the sodium at all. It can put an extra load on the already overworked and weak heart. Even if it's protocol, it doesn't hurt to run it by the doctor. Some doctors don't like you messing with the sodium at all .
Last edit by diabo on Sep 29, '06