| [ Summary ] |
Many factors are associated with unstable blood pressure in hemodialysis patients, such as primary diagnosis, complications, fluid balance, pharmacological therapy, intensity of self care, etc. Speedy and effective dialysis nursing care is necessary for the achivement of stable blood pressure and control of dialysis induced hypotension by patients and their families in order to educate the importance of daily care, blood pressure monitoring, proper diet and medication by themselves. Therefore, we standardized frequent nursing problems for the handing of those patients, and developed a nursing record form based on those problems. Our nursing attends to three particular parts in blood-pressure-related problems; (1) dialysis induced hypotension, (2) mal-control of blood pressure, and (3) excessive fluid retention. While the number of high risk patients in extra filtration treatment are rapidly increasing, individualized care and quality of primary nursing care are especially desired for maintaining of stable blood pressure in hemodialysis patients. |