Abstract
In this study, 15 CRF patients prone to hypotension were placed on hemodialysis with Constant UFR, Blood Volume Monitor (BVM) and BVM+Blood Temperature Monitor (BTM). We compared their mean arterial pressure (MAP), and frequency of nursing intervention for hypotensive episodes. The MAP for treatments with Constant UFR dropped in the latter part of sessions, but decrease of MAP in the latter part of sessions could be avoided by the use of BVM. In case of the patients with DM, the MAP declined during the high set point of UFR controlled by BVM, however this declining tendency was significantly reduced by using BVM+BTM. With Constant UFR and BVM, the arterial blood temperature (Tart) had tendency to increase as sessions went on, however using BVM+BTM, Tart stayed constant by varying dialysate temperature thought the session. During sessions, the MAP maintenance order was Constant UFR<BVM<BVM+BTM; therefore it proves not only using BVM controlling UFR, but also using both BVM and BTM controlling, body temperature of patients improves hemodynamic stability more efficiently.
