title: nausea and vomitting this lecture is about the complication i.e nausea and vomiting occurs during dialysis. this will cover the prevention management and of nausea and vomitting and its causes.

1. Nausea and Vomiting
Aniqa Atta
BS: Renal dialysis technology
Mphil: Molecular Biology and Genetics

2. Nausea and Vomiting causes
• Occurs in up to 10% of routine dialysis treatment
• Hypotension
• Can be due to to early manifestation of disequilibrium syndrome
• Type A and Type B varieties of dialyzer reactions
• Gastroparesis
• Incorrectly formulated dialysate solution(high sodium and calcium)

3. Management
• Treat any associated hypotension
• Vomiting may be particularly problematic when associated with
hypotension induced reduction in the level of consciousness owing to
risk of aspiration
• Antiemetic can be administered for the cause of vomiting as needed

4. Prevention
• Avoidance of hypotension during dialysis is prime importance
• Persistent symptoms unrelated to hemodynamics may benefit from
metoclopramide
• Sometimes a single pre dialysis dose of 5-10mg is sufficient