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  • Kidney in Emergency Department

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    litan das
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    This document discusses guidelines for defining and treating hypertension in dialysis patients. It recommends measuring blood pressure at home or through 24-hour ambulatory blood pressure monitoring during midweek dialysis intervals to diagnose hypertension. If those methods cannot be used, intradialysis blood pressure measurements can be used instead. The guidelines provide targets for home, 24-hour ABPM, and intradialysis blood pressure of less than 135/85 mmHg, 130/80 mmHg, and 140/90 mmHg respectively. Treatment goals should consider age, comorbidities, cardiac function, and neurological status.

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    This document discusses guidelines for defining and treating hypertension in dialysis patients. It recommends measuring blood pressure at home or through 24-hour ambulatory blood pressure monitoring during midweek dialysis intervals to diagnose hypertension. If those methods cannot be used, intradialysis blood pressure measurements can be used instead. The guidelines provide targets for home, 24-hour ABPM, and intradialysis blood pressure of less than 135/85 mmHg, 130/80 mmHg, and 140/90 mmHg respectively. Treatment goals should consider age, comorbidities, cardiac function, and neurological status.

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    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
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    132 views9 pages

    Kidney in Emergency Department

    Uploaded by

    litan das
    This document discusses guidelines for defining and treating hypertension in dialysis patients. It recommends measuring blood pressure at home or through 24-hour ambulatory blood pressure monitoring during midweek dialysis intervals to diagnose hypertension. If those methods cannot be used, intradialysis blood pressure measurements can be used instead. The guidelines provide targets for home, 24-hour ABPM, and intradialysis blood pressure of less than 135/85 mmHg, 130/80 mmHg, and 140/90 mmHg respectively. Treatment goals should consider age, comorbidities, cardiac function, and neurological status.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
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    of 9

    Kidney in Emergency

    Department.
    Dr. Manas Gope.
    DM (NEPHROLOGY)
    Pathophysiology
    Hypertension in dialysis patients should be preferentially defined on the basis
    of
    home or 24h-ABPM measurements during a midweek dialysis interval.

    • Home measurements: SBP >135 mm Hg and/or DBP>85 mmHg

    • 24h-ABPM measurements (midweek dialysis interval): SBP >130


    mm Hg and/or DBP >80 mm Hg.

    • If home or 24h-ABPM cannot be applied, hypertension can be


    diagnosed as midweek median intradialysis SBP >140 and/or
    DBP >90 mm Hg when the patient is believed to be at dry weight
    • Arterial pressure goals: age, comorbid
    conditions, cardiac function, and neurologic
    status.

    • Treatment targets:
    Home BP <135/85 mm Hg
    24h-ABPM <130/80 or median
    Intradialysis BP <140/90 mm Hg.
    Sepsis in ckd…

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