Complication Differential diagnosis
Fever Bacteremia, water-borne pyrogens, overheated dialysate
Hypotension Excessive ultrafiltration, cardiac arrhythmia, air embolus, pericardial tamponade; hemorrhage (gastrointestinal, intracranial, retroperitoneal); anaphylactoid reaction Hemolysis Inadequate removal of chloramine from dialysate, failure of dialysis concentrate delivery system Dementia Incomplete removal of aluminum from dialysate water, prescription of aluminum antacids Seizure Excessive urea clearance (first treatment), failure of dialysis concentrate delivery system Bleeding Excessive heparin or other anticoagulant
Muscle cramps Excessive ultrafiltration
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