Indicaciones para hemodiálisis de urgencia en el servicio de emergencias del Hospital General del Norte de Guayaquil IESS Los Ceibos, año 2020-2021.

Abstract

Renal failure, as a transcendental public health problem on a global scale, has caused an exponential increase in the rates of patients requiring renal replacement therapy in some of its modalities, a percentage of them debuting as urgent hemodialysis. Methodology: This is an observational, retrospective, cross-sectional and descriptive investigation that included a sample of 141 non-randomly selected patients from the Emergency Service of the HGNG IESS Los Ceibos in the period 2020-2021. Results: It is established that the patients undergoing emergency hemodialysis were mostly male, between 56 and 70 years of age, with pathological antecedents such as arterial hypertension and diabetes, and with altered clinical parameters. The main indications are hyperazotemia, metabolic acidosis, fluid overload, hyperkalemia, acute renal failure, among others. Complications of the procedure are rare, but when they do occur, they are commonly hypotension and hypertension. Conclusions: The results of this investigation match the ones presented in the bibliographic references, since it’s a procedure with established indications and generally well tolerated among patients.