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Chloramine and Temperature Profiling of Sterile water for Hemodialysis

Balachandran Prasad, K. Vasanthamoorthi, R. Ruban


Intradialytic Hypotension (IDH) is defined as a decrease in systolic blood pressure by ≥ 20 mm Hg or a decrease in MAP by 10 mm Hg associated with symptoms that include: abdominal discomfort; yawning; nausea; vomiting; muscle cramps; restlessness; dizziness or fainting; and anxiety. It impairs the patients well-being, can induce cardiac arrhythmias, and predisposes to coronary and/or cerebral ischemic events. This is due to the presence of chloramine in the sterile water used for hemodialysis. The secondary reason is the temperature variation in the sterile water. This paper discusses the methods to prevent Intradialytic Hypotension by chloramine and temperature profiling of the sterile water used for hemodialysis.

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