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This research is a clinical trial which will be performed in Latin square and single-blind method. The purpose of this research is to determine the combined effect of sodium and ultrafiltration profiles on some of the common complications during hemodialysis. The samples are hemodialysis patients in Panje Azar Hospital of Gorgan, Iran, who had hypotension for more than three sessions during last month. Other inclusion criteria are age of 18-75, hemodialysis for more than three months and three times a week with a solution of sodium bicarbonate. The patients have systolic blood pressure <100 mm Hg before starting dialysis. Patients with complications which would be studied in this project (cramps, nausea, vomiting and headache) and patients who recieve analgesic, anti-hypertensive and anti-spasmodic are not included. The samples, 44 patients, are selected by accessible sampling method, and randomly allocated to four groups of 11 members. In each of the groups, one specific protocol for hemodialysis is performed. 1: Linear sodium dialysate and constant ultrafiltration. 2: Constant sodium dialysate and gradient ultrafiltration. 3: Linear sodium dialysate and gradient ultrafiltration. 4 (standard hemodialysis): Constant sodium dialysate and constant ultrafiltration. In every session, blood pressure is monitored five times. Any muscle cramps, nausea, vomiting and headache are recorded. GAMRO AK96 hemodialysis machine are used for all samples.
IRCTID: IRCT201111208140N1
  1. Effect of sodium profile and temperature on blood pressure fluctuations of patients in hemodialysis section of Imam Hossein hospital in Shahrood ،2013
  2. Effects of linear sodium - ultrafiltration profile on patient tolerance during hemodialysis, in Hemodialysis patients Hamadan's Besat Hospital 1392.
  3. Comparison of the effect of cool dialysate with normal dialysate on vital signs, patient comfort and adequacy of dialysis in hemodialysis patients
  4. Effect of liner, step-wise and functional ultrafiltration profiling on hypotension during hemdialysis in patients with chronic renal failure
  5. The effect of ascending-descending profile of ultrafiltration along with sodium profile on systolic and diastolic blood pressure during the dialysis process in patients undergoing hemodialysis treatment.
  6. The effect of care educational intervention on the adequacy and complications during hemodialysis
  7. Comparison the effect of High Flux with Low Flux membrane in Patient's Comfort, Level of Electrolytes and Clearances of Articles in Hemodialysis' Patients
  8. The effect of ultra filtration adjustment based on dry weight calculation by measuring serum sodium pre- dialysis on some of hemodialysis complications
  9. The study of effect lowering the dialysate temperature on hemodynamic indicators and dialysis efficiency of the diabetic patients in aliabn abitalb (AS) hospital of zahedan university of medical sciences in 2018
  10. The effect of comparing liner-stepwise sodium and ultrafiltration profiling on hemodialysis adequacy of end stage renal disease patients Undergoing Hemodialysis
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