Complications in renal patients during hemodialysis sessions and nursing interventions

Abstract

Objective: To summarize the knowledge produced in the scientific literature of the main clinical complications during hemodialysis and describe nursing interventions according to the NIC. Method: an integrative literature review. For selection of four databases SCOPUS, CINAHL, PUBMED and LILACS were consulted, which included five articles. Studies fitted in the level 3 of scientific evidence, being an observational type. Results: the main clinical complications during hemodialysis sessions were: nausea, vomiting, cramps, itching, hypotension, hypertension and hypothermia. Nursing interventions were hydroelectrolytic monitoring, checking vital signs, administering medications and instructing the patient. Conclusion: the clinical complications are related to the rapid removal of fluid and accelerated electrolyte exchange during the hemodialysis session. Interventions raised showed the variety of possible behaviors before these complications.