Zorica Kauric-Klein
Background: Hypertension is poorly controlled in hemodialysis (HD). Extracellular fluid volume control, restriction of salt intake and antihypertensive therapy are needed to control blood pressure (BP) control in this population. Research on patterns of antihypertensive use on BP has not been extensively studied in the chronic HD population.
Methods: A descriptive secondary correlational analysis of n = 118 chronic HD patients was conducted to determine the patterns of antihypertensive medication use and their relationship to BP.
Results: Participants were taking an average of three antihypertensive medications. Total number of antihypertensive medications was not correlated with BP. There were no differences in BPs in patients who took or did not take a specific antihypertensive drug class except for ace-inhibitors. Those participants who did take ace-inhibitors had significantly higher BPs.
Conclusions: Future studies examining antihypertensive class, optimal dosing and time of administration need to be conducted to determine the best hypertensive management intervention for chronic HD patients.
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