Some patients after they do dialysis vomit, which bothers their family much.
And this condition is specially common in some underdeveloped countries. And
also their doctors do not give them effective suggestions to deal with it.
Regarding this question, finding out the exact reason and treating it
accordingly is the only way to deal with it. So, why do patients vomit after
dialysis?
Generally speaking, there are many possible reasons, the major of which is
mainly because of dialysis disequilibrium. And side effects of dialysis mainly
include: (1) dialysis disequilibrium: Incidence of dialysis disequilibrium is
about 3.4%-20%. The side effects are manifested as nausea, vomit, dysphoria,
etc. and spasm, coma or even death in some severe cases. Those slight cases do
not need special treatment, and to those whose condition is rather severe,
hypertonicity solution should be given to treat this condition, like mannitol,
50% dextrose solution or 3% sodium chloride, or albumin. Sedative is also fine
to control symptoms; And they can stop dialysis in those rather pretty severe
cases. (2) And some patients have this problem because of the new dialysis
machine and tube. Symptoms control treatment is ok for them. (3) low blood
pressure: this is also one of the most common side effects of hemodialysis and
incidence rate of which is 20%-40%. And there are many reasons for low bp. Most
cases happen at the middle or end stage of dialysis. It is always because
excessively fast ultrafiltration or patients’ not getting used to dialyzate if
patients have low blood pressure at end stage of dialysis. Treatment for this
kind of condition is to adjust patient’s position, stop ultrafiltration, slow
down the speed of the pump, and give patients some saline or glucose if
necessary. Treating the reasons for low bp is the right way to solve this
problem. (4) reaction to pyrogen: doctors usually do not give patients any
medicine for this case, and bring down temperature of dialysis if patients have
high temperature.
Above all, finding the exact reason for patient's vomit is the way to solve this problem fundamentally, however, if patient's can regain some kidney function by receiving systematic treatment, they would stop dialysis and no vomit any more, that is the best solution for this problem. Can they stop dialysis? It all depends and There's chance.More details, please refer to "http://www.bjkidney.com/esrd-treatment/119.html"
