Use of fludrocortisone for intradialytic hypotension

Seo Yuri; Jeung Soomin; Kang Sun-myoungYang Won SeokKim HyosangKim Soon Bae

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Use of fludrocortisone for intradialytic hypotension

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Intradialytic hypotension during dialysis adversely affects a patient's prognosis and increases mortality. We report a case in which intradialytic hypotension that persisted after the administration of midodrine was relieved after the use of fludrocortisone. Administration of 0.2 mg of fludrocortisone occurred 30 minutes before dialysis. We compared 45 sessions of dialysis without fludrocortisone administration and 45 sessions of dialysis with fludrocortisone administration in one patient. The number of times in which systolic blood pressure became lower than 80 mmHg and the number of early terminations of dialysis due to a decrease in systolic blood pressure were higher in the sessions without fludrocortisone administration than in the sessions with fludrocortisone administration (P < 0.05). Fludrocortisone may be helpful for the treatment of intradialytic hypotension that does not respond to midodrine administration.

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《kidney research and clinical practice》 |2018年第1期|85-88|共4页
作者
Seo Yuri; Jeung Soomin; Kang Sun-myoungYang Won SeokKim HyosangKim Soon Bae;
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作者单位

Univ Ulsan;

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原文格式 PDF
正文语种英语
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关键词
Fludrocortisone; Hypotension; Midodrine; Renal dialysis; ORTHOSTATIC HYPOTENSION; MINERALOCORTICOID THERAPY; HEMODIALYSIS-PATIENTS; POTASSIUM; HOMEOSTASIS; MORTALITY;

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机译：Effect of Fludrocortisone on Intradialytic Hypotension: An Open-Label, Randomized, Crossover Study
2. Changchun University of Science and Technology Reports Findings in Hypotension (Boosted machine learning model for predicting intradialytic hypotension using serum biomarkers of nutrition) [J] . Robotics & Machine Learning Daily News . 2022,第26期

机译：Changchun University of Science and Technology Reports Findings in Hypotension (Boosted machine learning model for predicting intradialytic hypotension using serum biomarkers of nutrition)
3. Treatment of orthostatic hypotension with sleeping in the head‐up tilt position, alone and in combination with fludrocortisone [J] . A. D. J. TEN HARKEL, J. J. LIESHOUT, W. WIELING journal of internal medicine . 1992,第2期

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Use of fludrocortisone for intradialytic hypotension

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