How can symptomatic baseline hypotension and severe intradialytic hypotension (with blood pressure dropping to 80/45 mmHg) be managed in a Stage 5 chronic kidney disease (CKD) patient undergoing hemodialysis three times a week?
Managing this is a collaborative effort with your nephrology team. They can adjust your target 'dry weight' to prevent removing fluid too quickly, cool the dialysis machine fluid slightly, or adjust the sodium levels during your session. Medications like midodrine, taken before treatment, can also help keep your blood pressure stable. Please review your daily medications with your doctor, as some blood pressure drugs may need to be skipped on dialysis days.
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How can symptomatic baseline hypotension and severe intradialytic hypotension (with blood pressure dropping to 80/45 mmHg) be managed in a Stage 5 chronic kidney disease (CKD) patient undergoing hemodialysis three times a week?