Date of Award
Summer 1981
Document Type
Thesis - Restricted
Degree Name
Master of Science (MS)
Department
Nursing
First Advisor
Siegel, Hildegarde
Second Advisor
Fehring, Richard J.
Abstract
Hemodialysis may be used as an alternative to transplantation or as a life-saving measure while awaiting a suitable organ tissue match. The purpose of this study was to determine if the incidence of hypotension would decrease when scaled amounts of normal saline are infused during the initiation of the hemodialysis treatment. A sample of twenty- five uremic subjects were randomly selected from the hemodialysis population of a private hospital. The subjects' charts were audited for blood pressure recordings for twelve treatments prior to the implementation of a protocol which infused normal saline based on pretreatment blood pressure and weight gain for twelve treatments'. Eleven subjects experienced hypotension; fourteen did not and were not included in the analysis. The number of hypotensive episodes for the audit and protocol treatments were calculated and submitted to a test of proportions at the .01 level of significance. The findings showed the audit treatment to have a significantly smaller proportion of hypotensive incidents, therefore, the hypothesis was not supported. The scaling of normal saline infusion during the initiation of hemodialysis and the giving of saline utilized to prime the dialyzer blood tubing were concluded to be noncontributory to the induction of shock episodes. Those who gained more weight between treatments received less fluid and had a greater circulating volume prior to the initiation of treatment and the receiving of intravenous solution.
Recommended Citation
LeMahieu, Barbara Lois, "The Infusion of Scaled Amounts of Normal Saline During the Initiation of Hemodialysis and the Incidence of Hypotension" (1981). Master's Theses (1922-2009) Access restricted to Marquette Campus. 3428.
https://epublications.marquette.edu/theses/3428