衛教資訊
Common Complication of Hemodialysis: Muscle Spasm 血液透析中常見併發症:肌肉痙攣
Common Complication of Hemodialysis: Muscle Spasm 血液透析中常見併發症:肌肉痙攣
2024/1/2
Muscle cramps frequently occur in the lower extremity muscles, which feel stiff, tingling and severe pain.
Causes
- Improper ultrafiltration
- Excessive amounts of ultrafiltration per unit time
- Excessive amounts of total ultrafiltration
- The ideal weight is set too low
- Imbalance of electrolytes (e.g. calcium and phosphorus) in the blood
- Serum electrolytes imbalance (e.g. sodium, potassium, calcium and phosphorus)
Prevention and Handling
- Don't change your posture quickly. Keep your body warm.
- Apply a hot compress to the spastic site.
- Massage the muscle and fix the spastic site; get up and walk around after dialysis.
- Reduce the amount of ultrafiltration and slow down the blood flow according to doctor's advice.
- Intravenous infusion of saline is given according to the doctor's advice.
- Slowly inject 50% glucose solution as directed.
- Ulu, S., & Ahsen, A. (2015). Muscle cramps during hemodialysis: what can we do? new approachs for treatment and preventing. European Journal of General Medicine, 12(3), 277-281. https://doi.org/10.15197/ejgm.01391
製作單位:內科部腎臟系 編碼:HE-10143-E
若有任何疑問,請不吝與我們聯絡
電話:(04) 22052121 分機 13255、11669、11760
若有任何疑問,請不吝與我們聯絡
電話:(04) 22052121 分機 13255、11669、11760
中國醫藥大學附設醫院暨體系院所