Care After Dialysis (1)

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Patients need measure temperature, breath, pulse, blood pressure and weight after dialysis. phlebotomize to test creatinine, usea nitrogen, K+、Na+、Cl-、CO2CP, and also Ca2+ 、P3- to analysis the dialysis result of whether there’s electrolyte disturbance when necessary, and make corresponding adjustments, and prepare for next dialysis plan at the same time. It is the most important thing to record the inlet and outlet fluid accurately during the two near dialysis, we can intake appropriate fluid to patients’ body, but not much to occur congestive heart failure according to the recording. Patients always have a misunderstanding after starting dialysis, that is the hemodialysis can meet the needs of clearing metabolin completely, so they can eat and drink unrestricted. Doctor need think about patients’ renal status, dialysis frequency and interval length and composition of dialysate to decide recipes for patients with conditions. And give patients low salt, low potassium, high vitamin, amount protein and adequate calorie diet. Dialysis patients need to be supply 1g protein per day per kg, including high quality protein more than 50%, 35 Kcal/kg can meet the needs of activities and treatment, restrict vegetable and fruit to avoid intake excessive potassium, but vitamin B1, B6 need to be intake.