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Preventing hypoxaemia during haemodialysis: Oxygen therapy and bicarbonate profiling
Author(s) -
Leggate P.
Publication year - 2000
Publication title -
edtna‐erca journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.381
H-Index - 27
eISSN - 1755-6686
pISSN - 1019-083X
DOI - 10.1111/j.1755-6686.2000.tb00109.x
Subject(s) - intensive care medicine , medicine , hypoxemia , bicarbonate , oxygen therapy , hemodialysis , anesthesia , surgery
summary This study was undertaken, because in the Haemodialysis Unit, where this author practices, patients with a history of cardiovascular disease and who undergo routine maintenance haemodialysis were exhibiting signs and symptoms of hypoxaemia, such as agitation, restlessness, yawning and eventual collapse. The experience itself is described by the patients involved as terrifying and therefore should be a priority in their Nursing Care Plan. It should be remembered however that the bicarbonate profile used in the programme should reflect the results of predialysis blood samples and altered accordingly. Haemodialysis induced hypoxaemia has been reported many times and several investigations have confirmed the occurrence of this phenomenon. In this study, the concern is how to prevent patients from experiencing this event.