[Home ] [Archive]   [ فارسی ]  
:: Main :: About :: Current Issue :: Archive :: Search :: Submit :: Contact ::
:: Volume 4, Issue 1 (6-2007) ::
Mod Care J 2007, 4(1): 21-28 Back to browse issues page
Complications during hemodialysis in chronic hemodialysis patients using dialysis buffer solution with sodium acetate and sodium bicarbonate.
M Mogharab , N Rezaee , F Tahouri , P Taheri , H Jani
Birjand University of Medical Sciences. Birjand, Iran , mogh1344@yahoo.com
Abstract:   (14220 Views)

  Background and Aim: The mortality resulted from complications of hemodialysis has been a great problem throughout the time. Some studies have shown the relation between dialysis buffer solution and the complications. Since such complications have been experienced in Birjand Hemodialysis Center as well, the current study was carried out to determine the relationship of complications during dialysis and the buffer solution used: sodium acetate or sodium carbonate.

  Materials and Methods: This descriptive-analytic study was performed on 40 dialysis patients with ESRD who were selected by census method in hemodialysis section of Vali-Asr Hospital, Birjand. They were divided randomly into 2 groups: Group A (under dialysis with sodium acetate) and group B (under dialysis sodium bicarbonate). They were also assessed clinically in terms of complications before, during and after dialysis. Data were analyzed by SPSS and Chi square test. (P<0.05)

  Results: The majority of patients were in the age category of 56-65 years and female.50%of them had a history of dialysis for less than 6 months as three sessions a week under dialysis. The main causes for dialysis for majority of patients are diabetes (18%) and unknown causes (12%) respectively. The average systolic blood pressure of the patients before, during and after dialysis were 13.2±2.15, 13.85±2.71 and 12.61±2.75cm Hg respectively. Associated diastolic pressures were 7.02±1.23, 7.5±1.29 and 7.6±1.67. There was no statistically significant relationship between the type of the solution used and the decrease of diastolic and systolic blood pressure. No (muscle) cramps occurred but the headache (10%), nausea and vomiting (7.5%), hypoxia (22.5%) and chest pain (12.5%) occurrence were not significantly related to the type of the solutions.

  Conclusion: A decrease in blood pressure by getting to the end of each dialysis session scaled up, proposing the effects of other factors in addition to the type of the solution. Therefore we recommend to replace Acetate by Bicarbonate solutions, if possible, then try to control other factors.

Keywords: Dialysis solution, Sodium acetate, Sodium carbonate, Hemodialysis, ESRD
Full-Text [PDF 1384 kb]   (1526 Downloads)    
Type of Study: Descriptive-Analytic | Subject: Nursery
Received: 2012/12/12 | Accepted: 2013/06/19 | Published: 2016/01/10
Send email to the article author

Add your comments about this article
Your username or Email:


XML   Persian Abstract   Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Mogharab M, Rezaee N, Tahouri F, Taheri P, Jani H. Complications during hemodialysis in chronic hemodialysis patients using dialysis buffer solution with sodium acetate and sodium bicarbonate.. Mod Care J. 2007; 4 (1) :21-28
URL: http://moderncare.bums.ac.ir/article-1-208-en.html

Volume 4, Issue 1 (6-2007) Back to browse issues page
مراقبتهای نوین Modern Care Journal
Persian site map - English site map - Created in 0.26 seconds with 31 queries by YEKTAWEB 3781