Regarding dialysis, what is the recommended action for antihypertensive medications?

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Multiple Choice

Regarding dialysis, what is the recommended action for antihypertensive medications?

Explanation:
Dialysis lowers blood pressure due to fluid removal, so holding antihypertensive medications on the day of dialysis helps prevent intradialytic hypotension and dizziness during the treatment. By withholding these meds, you reduce the risk of a BP drop when ultrafiltration is actively reducing circulating volume. After dialysis, reassess the patient’s blood pressure and resume or adjust the medication as needed. Continuing or increasing the dose on dialysis day could lead to unsafe hypotension, while holding aligns with protecting hemodynamic stability during the procedure.

Dialysis lowers blood pressure due to fluid removal, so holding antihypertensive medications on the day of dialysis helps prevent intradialytic hypotension and dizziness during the treatment. By withholding these meds, you reduce the risk of a BP drop when ultrafiltration is actively reducing circulating volume. After dialysis, reassess the patient’s blood pressure and resume or adjust the medication as needed. Continuing or increasing the dose on dialysis day could lead to unsafe hypotension, while holding aligns with protecting hemodynamic stability during the procedure.

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