Uremic patients with high pressure of 155 mmHg and low pressure of 115 mmHg during dialysis are more serious and need to be actively managed to avoid cardiovascular complications.
Elevated blood pressure during dialysis is known as hypertension in dialysis, which is defined as a condition in which the mean arterial pressure exceeds 15 mmHg at the beginning or during the process of dialysis. Uremic patients with high pressure of 155 mmHg and low pressure of 115 mmHg during dialysis belong to inter-dialysis blood pressure elevation, which is generally more serious and may lead to cardio-cerebral vascular complications, such as cerebral hemorrhage and heart failure.
Elevated blood pressure during dialysis may be related to water load, increased cardiac output, active renin-angiotensin system, dialysis fluid composition, and erythropoietin use. It is necessary to give active and effective treatment for the specific cause of the disease, try to maintain stable blood pressure, improve the quality of life, and prolong the patient’s life.
Dialysis hypertensive patients should strictly limit salt and water control, adjust dry weight, regular dialysis to improve the adequacy, adjust the sodium ion gradient in dialysis, dialysis mode can be changed to nocturnal long-time dialysis, short-time daily dialysis and so on. In addition, it is necessary to pay attention to the adjustment of antihypertensive drugs, adjust the dose of erythropoietin, etc..
For those with high blood pressure during dialysis, it is recommended to communicate with the medical staff of the dialysis center and adjust the treatment plan under the guidance of doctors.