Intradialytic Hypotension Prevention and Management Knowledge and Practices: Results from a Survey of Australian and New Zealand Nephrology Nurses.Nephrol Nurs J. 2015 Mar-Apr; 42(2):155-66; quiz 167.NN
Intradialytic hypotension (IDH) remains the most frequent serious side effect of hemodialysis, increasing morbidity in patients on hemodialysis. Nephrology nurses have a critical role in the prevention and management of IDH. The aim of this study was to investigate nephrology nurse knowledge and practice habits in the prevention and management of IDH. This was an explorative cross-sectional design, web-based survey of Australian and New Zealand nephrology nurses (n = 173). IDH definitions, blood pressure interpretation, and IDH interventions were inconsistent and not always evidence-based. Demographic characteristics had little impact on the variation in responses. A universal definition for IDH may improve early recognition of the problem. Formal guidelines in considering individualized interventional strategies for asymptomatic episodes prior symptomatic IDH occurrence may improve outcomes for patients on hemodialysis.