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Fever And Chill In Dialysis

2013-05-29 15:44

Why do some people experience fever and chills after dialysis? Dialysis is life-sustaining for dialysis patients. However, while it helps to purify blood, it brings some discomforts as well. Fever and chill are common complications of hemodialysis and occur easily during or after dialysis. Today we will give an overall introduction about causes, symptoms and management of fever and chill in dialysis.

Causes of fever and chill in dialysis

There are mainly three causes for dialysis patients to experience fever and chill:

Infection or septicemia: Dialysis patients are running high risk for infection and septicemia due to the respiratory illness or the exposure of blood. Blood flow out of patients’ blood through vascular access and this makes patients susceptible for infection and septicemia.

Cold dialysate or malfunctioning thermostat: When cold dialysat flow into patient’s body, they will suffer from chills. A thermostat is a component of a control system which senses the temperature of a system so that the system’s temperature is maintained near a desired setpoint. For dialysis patients, when thermostat malfunctions, chill or fever will be caused.

Pyrogenic reaction: There are two causes for pyrogenic reaction: one is fever reaction due to presence of dead bacteria endotoxins. Another cause is contamination of bicarbonate containers, water system, machine, dialyzer or bloodlines.

Symptoms of fever and chill in dialysis

With fever and chills caused by infection, it is usually accompanied with redness, swelling, tenderness, warmth or drainage from access site. And for dialysis patients with fever and chills due to septicemia, hypotensive shock may attack them as well.

Common symptoms of pyrogenic reaction include cold sensation upon treatment initiation (40-70 minutes into treatment), sudden shaking chills, then temperature elevation 1 to 2 hours after chills, increased pulse before chills develop, headache and muscle aches.

Management of fever and chill in dialysis

When fever and chills occur, it is necessary to foud out the root cause of it and then take corresponding measures.

Besides, if severe fever and chills occur during dialysis, it is necessary for patients to remove from dialysis immediately and gather samples of dialysate and blood to have an analysis of illness condition. (If you are suffering fever and chill in dialysis, you can leave your general illness condition to us and we’d like to help you figure out the root cause and then give some practical suggestions)

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