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Accurate Dry Weight Assessment: Reducing the Incidence of Hypertension and Cardiac Disease in Patients on Hemodialysis - Download article and take CE posttest
Wendy Purcell, Elizabeth Manias, Allison Williams, and Rowan Walker
Hypertension
is a major cause of cardiac disease in patients on hemodialysis (HD)
and is most commonly due to hypervolemia. Removal of excess water
during HD can successfully normalize blood pressure, but its success
depends on an accurate assessment of dry weight. This article reviews
the literature concerning hypertension in patients on HD and proposes
that increased attention by dialysis staff to assessing dry weight may
reduce the incidence of hypertension and cardiac disease in these
patients.
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| Wendy Purcell, RN, BEdStud, GradDipNurs, is
a Renal Anemia Coordinator for the Royal Melbourne Hospital and the
North West Dialysis Service in Melbourne, Victoria, Australia; and an
international member of ANNA.
Elizabeth Manias, PhD, RN, BPharm, MPharm, GradCertCritCare, MNursStud, is an Associate Professor and the Higher Degrees Coordinator at the School of Nursing, The University of Melbourne.
Allison Williams, PhD(c), RN, GradCertNurs, GradDipNurs, MNursStud, is
the coordinator of the Postgraduate Diploma in Renal Nursing and Master
of Nursing (by Coursework) at the School of Nursing, The University of
Melbourne, Victoria.
Rowan Walker, MD, MBBS, FRACP, is
Deputy Director of Nephrology, Royal Melbourne Hospital, and Physician
in Charge of ESKD and Director of Dialysis and Transplantation, Royal
Children’s Hospital, Melbourne, Victoria.
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