Does stopping during hemodialysis have any impact

Stopping hemodialysis midway may lead to risks such as electrolyte imbalance, toxin accumulation, and abnormal heart function. It is necessary to strictly follow medical advice to adjust the treatment plan.

1. Electrolyte imbalance: Interruption of dialysis can prevent timely clearance of electrolytes such as potassium and sodium, and hyperkalemia may lead to arrhythmia. Patients need to monitor electrolytes daily, limit intake of high potassium foods such as bananas and spinach, and in emergency situations, intravenous injection of calcium gluconate is necessary to stabilize the myocardium.

2. Accumulation of toxins: Accumulation of metabolic waste such as creatinine and urea nitrogen may cause symptoms of uremia, such as nausea and skin itching. Complete at least 3 regular dialysis sessions per week, with an interval of no more than 48 hours between each session. If necessary, use blood perfusion to assist in the clearance of medium molecular toxins.

3. Excessive capacity load: Failure to timely discharge fluids can lead to hypertension and pulmonary edema. Strictly control daily water intake within 500ml and urine intake, use diuretics such as furosemide to relieve edema, and accurately set the amount of dehydration during dialysis.

4. cardiovascular risk: Pausing hemodialysis may increase the burden on the heart, induce heart failure or pericarditis. Regular cardiac ultrasound examination is required, and beta blockers such as metoprolol should be taken to control heart rate. Low temperature mode should be used during dialysis to reduce myocardial oxygen consumption.

5. Exacerbation of anemia: The secretion of erythropoietin is inhibited, and hemoglobin may rapidly decrease. Subcutaneous injection of recombinant human erythropoietin according to body weight, combined with intravenous iron supplementation, and weekly blood routine testing to adjust medication dosage. Regular dialysis is the key to maintaining life. Patients should establish a treatment calendar reminder, carry a dialysis card with them, and prioritize contacting designated hospitals to arrange emergency dialysis in case of emergencies. Family members should learn to measure blood pressure, record urine output, prepare sufficient antihypertensive drugs and diuretics at home, and avoid the intake of high phosphorus foods such as cheese and animal organs.