Page 59 - อ.พัชรินทร์ -Management of Acute Complication During Hemodialysis21112021

Dialysis disequilibrium Syndrome (DDS)

Risk factor

 First HD with high BUN > 125 Etiology

mg/dl
 Rapid urea removal

 Severe metabolic acidosis  Intracerebral acidosis

 Extremes of age : child or

aging

 CNS disorder (stroke, tumor,

dementia,hypo-Na), head cerebral edema

injury (subdural hematoma)