The Impact of Hemodialysis on Blood Pressure Improvement in Stage V Chronic Kidney Disease (CKD) Patients

Abstract

Hemodialysis is an act to partially replace kidney function and dispose of substances (water, urea, creatinine, potassium, magnesium, etc.) that are not needed in the blood. Typically, 70% - 90% of hemodialysis patients have recently had high blood pressure (hypertension) during the first hemodialysis. After passing through the first month of hemodialysis (extracellular volume downhill), blood pressure decreased progressively, reaching a normal level of variable proportion (30% - 95%) in patients who are already been doing hemodialysis for a few months. Mean Arterial Pressure predialysis patients with a high initial decline in the first-week dialysis, then Mean Arterial Pressure settled and stable enough after three months of hemodialysis. This study aims to prove that there is an improvement in blood pressure after hemodialysis for patients with Chronic Kidney Disease at Universitas Kristen Indonesia Hospital. The methodology used is the analytic ex post facto with data collected retrospectively from the Archives of Medical Record Universitas Kristen Indonesia Hospital Inpatient and use quota-type sampling. The table above shows that of 52 patients with Chronic Kidney Disease Stage V undergoing hemodialysis, 29 individuals experienced an improvement (55.8%). While 23 individuals experienced no improved blood pressure (44.2%). Key words: CKD, hemodialysis, improvement of blood pressure.