Effect Ultrafiltration Rate On Blood Pressure Chronic Kidney Disease Patient During Hemodyalisis: A Literature Review
Abstract
Introduction: Data from the Kidney Foundation Diatrans Indonesia stated that the number of patients with renal failure in Indonesia is estimated to increase 4,400 patients each year. One of the adverse effects of chronic kidney disease is the disorder of blood filtration. Interventions applicable to patients with impaired filtration include hemodialysis therapy. Complications that often occur in patients undergoing hemodialysis are hemodynamic disorders, especially blood pressure to drop or intradialytic hypotension. Objective: This study aims to review some literature on the effect of ultrafiltration rate on blood pressure of patients with chronic kidney disease who undergo hemodialysis.
Method: Journal article search is done electronically using multiple databases: PubMed database, Google Scholar, Science Direct and Mendeley from January 2007 to November 2017. Keywords used were "Ultrafiltration / Ultrafiltration rate", "Blood Pressure", "intradialytic intradialytic / intradialytic hypertension", "Hemodialysis", "Chronic Kidney Disease / CKD" to obtain three articles for review. Result: Ultrafiltration rate can be expressed as having an effect on blood pressure in a hemodialysis patient.
Discussion: When hemodialysis, ultrafiltration is done to attract excess fluid in the blood. The amount of fluid secreted during hemodialysis can affect the drop in blood pressure due to a decrease in the volume of blood being pumped. This is related to the reduced volume of strokes produced by the heart. Conclusions: Ultrafiltration rate affects the blood pressure of patients undergoing hemodialysis.References
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