Use of fludrocortisone for intradialytic hypotension
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 fludroco...
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| Format: | Article |
| Language: | English |
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The Korean Society of Nephrology
2018-03-01
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| Series: | Kidney Research and Clinical Practice |
| Subjects: | |
| Online Access: | https://doi.org/10.23876/j.krcp.2018.37.1.85 |
| _version_ | 1819242555542339584 |
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| author | Yuri Seo Soomin Jeung Sun-myoung Kang Won Seok Yang Hyosang Kim Soon Bae Kim |
| author_facet | Yuri Seo Soomin Jeung Sun-myoung Kang Won Seok Yang Hyosang Kim Soon Bae Kim |
| author_sort | Yuri Seo |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-23T14:41:40Z |
| format | Article |
| id | doaj.art-d84942db46804de8af6c802fa3bdc258 |
| institution | Directory Open Access Journal |
| issn | 2211-9132 |
| language | English |
| last_indexed | 2024-12-23T14:41:40Z |
| publishDate | 2018-03-01 |
| publisher | The Korean Society of Nephrology |
| record_format | Article |
| series | Kidney Research and Clinical Practice |
| spelling | doaj.art-d84942db46804de8af6c802fa3bdc2582022-12-21T17:43:12ZengThe Korean Society of NephrologyKidney Research and Clinical Practice2211-91322018-03-01371858810.23876/j.krcp.2018.37.1.85j.krcp.2018.37.1.85Use of fludrocortisone for intradialytic hypotensionYuri Seo0Soomin Jeung1Sun-myoung Kang2Won Seok Yang3Hyosang Kim4Soon Bae Kim5Department of Nephrology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, KoreaDepartment of Nephrology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, KoreaDepartment of Nephrology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, KoreaDepartment of Nephrology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, KoreaDepartment of Nephrology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, KoreaDepartment of Nephrology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, KoreaIntradialytic 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.https://doi.org/10.23876/j.krcp.2018.37.1.85FludrocortisoneHypotensionMidodrineRenal dialysis |
| spellingShingle | Yuri Seo Soomin Jeung Sun-myoung Kang Won Seok Yang Hyosang Kim Soon Bae Kim Use of fludrocortisone for intradialytic hypotension Kidney Research and Clinical Practice Fludrocortisone Hypotension Midodrine Renal dialysis |
| title | Use of fludrocortisone for intradialytic hypotension |
| title_full | Use of fludrocortisone for intradialytic hypotension |
| title_fullStr | Use of fludrocortisone for intradialytic hypotension |
| title_full_unstemmed | Use of fludrocortisone for intradialytic hypotension |
| title_short | Use of fludrocortisone for intradialytic hypotension |
| title_sort | use of fludrocortisone for intradialytic hypotension |
| topic | Fludrocortisone Hypotension Midodrine Renal dialysis |
| url | https://doi.org/10.23876/j.krcp.2018.37.1.85 |
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