During dialysis, what is the primary concern regarding blood pressure?

During dialysis, the primary concern regarding blood pressure is hypotension. This condition can occur due to several factors associated with the dialysis process, including fluid removal, rapid ultrafiltration, and electrolyte shifts. When a significant volume of fluid is removed from the patient’s bloodstream, it can lead to a decrease in blood volume, resulting in low blood pressure. Hypotension during dialysis can cause symptoms such as dizziness, nausea, and even fainting, which can compromise patient safety and comfort.

Additionally, managing blood pressure during dialysis is crucial because episodes of hypotension can lead to inadequate organ perfusion, particularly affecting the brain and heart. Therefore, monitoring and maintaining blood pressure within a target range is essential for minimizing the risk of complications during the treatment.

While hypertension could also be a concern for patients with kidney disease, particularly those who are not adequately managed, the immediate risk during the dialysis procedure itself is more commonly associated with hypotension. Other options, such as thrombosis and hypoglycemia, are important considerations but are not the primary concern linked directly to blood pressure changes during dialysis treatment.