Page 40 - อ.พัชรินทร์ -Management of Acute Complication During Hemodialysis21112021
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Strategies for SCD Prevention in HD Patients







               General Strategy                                                Specific Intervention




       Manage cardiomyopathy                           -Use carvedilol in patients with dilated


             Systolic Dysfunction                      cardiomyopathy


            Diastolic                                  -Consider more frequent HD to reduce left



       dysfunction/LVH                                 ventricular mass



       Minimize arrhythmic triggers




             Potassium shifts                          -Monitor pre-dialysis potassium frequently,


                                                       especially after hospitalization


                                                       -Avoid low potassium (< 2 mEq/L)


                                                       -Binding agents to reduce interdialytic


                                                       hyperkalemia



                                                                                                   Am J Kidney Dis. 2017;69(5):684-695.
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