Complications of Hemodialysis in People with ESRF

When one develops to End-stage Renal Failure (ESRF), hemodialysis and kidney transplant become the few options left. Due to the inaccessible to kidney transplant, dialysis becomes the most common treatment used for sustaining people’s lives. We should definitely admit the importance of hemodialysis， but on the other hand, we should definitely understand the complications it brings.

Complications with hemodialysis in people with ESRF

1. Dialysis reaction

Generally, heat source reaction appears 50-75min after dialysis began. Patients appear with chill, fever, headache, dizziness, vomiting and nausea etc. According to these reactions above, the first dialysis should be performed in a short time. The first time lasts around 2 hours and be extended gradually. Regular dialysis can be performed after1-2weeks.

2. Dialysis disequilibrium syndrome

It can occur during or after dialysis. Main symptoms are:

Ø Headache

Ø Dysphoria

Ø Nausea

Ø Vomiting

Ø Increased blood pressure

Ø Vision blurring

Ø Cramp

Ø Coma or even death

3. Cardiovascular complications

Ø Arrhythmia

Ø Pericarditis

Ø Cardiac tamponade

Ø Cardiac failure

Ø Hypertension

Ø Cerebral hemorrhage

Ø Intradialytic hypotension

Cardiovascular diseases account for no less than 50% of the deaths for those on hemodialysis.

4. Hard water syndrome

Skin burning

Itch

Rubefaction

Excitation

5. Aeroembolism

Chest pain

Cough

Breath with difficulty

Fidget

Cyanopathy

Dottiness

6. Fever

7. virus hepatitis

Some of the side effects and complications of hemodialysis threaten ESRF patients’ life security, that’s why taking treatment is very important.