Dialysis patients how decompression?

Dialysis patients how decompression?

Dialysis patients, high blood pressure is very common, the most important thing is to limit sodium, strictly control capacity, and explore suitable dry weight, but usually can not reach the ideal effect, also need to add use antihypertensive drugs.

Diuretics can buck, but often in patients with high creatinine is invalid, and it also ototoxicity, anuria dialysis patients is not recommended to decompression with diuretics.
Except for diuretics, all antihypertensive drugs can be used in the treatment of dialysis patients.

1. Angiotensin converting enzyme inhibitors (ACEI), which is the name of "split" anti-hypertensive drugs, in addition to cinepolis, other will be dialysis process to clear, so need to add after dialysis.
On the contrary, the angiotensin receptor blocker (ARB), is the name of "sand temple" blood pressure medication, dialysis can't remove it, without added after dialysis.
In general, support used in dialysis patients with ACEI or ARB kind of blood pressure medication, they have some protection at the same time for the heart.

2. The mineralocorticoid receptor antagonist, which can be used in oliguria dialysis patients, can reduce the cardiovascular damage, at the same time also can let hyperkalemia occurred to reduce.

3. The beta - blockers (atenolol (ammonia acyl of mind), metoprolol (betaloc, metoprolol), labetalol (organism) benzyl meranti heart, peso (Sue)).
This kind of antihypertensives during hemodialysis are easy to be cleared.
Another concern is that it has caused the risk of hyperkalemia, according to one report, more than, and labetalol have this side effect, must be careful.

4. Calcium channel blockers (CCB) : name of "horizon" of the majority of antihypertensive agents, dialysis is not normally clear, often share with the rest of the blood pressure drugs, step-down for dialysis patients.
It like "split" blood pressure drugs, some protective effect on the heart.

Use the top of blood pressure medication, blood pressure or fall not come down, how to do?
Clonidine can be used is difficult to control high blood pressure.
If multiple antihypertensive drugs don't work, you can use long press, hydralazine, but note that such drugs, medicine is usually before going to bed.