In patients with chronic hypotension:
- Perform cardiac work up to rule out cardiac causes
- Use haemodiafiltration not standard haemodialysis
- Consider suitability for more frequent dialysis whether at home or in centre
- Consider use of compression stockings and advise re-postural symptoms
- where transplant listed, ensure that transplant team aware that may need perioperative inotropes
- Ensure very close observation of dialysis access; lower blood pressure may accentuate haemodynamic effects of any vessels stenosis
- Consider screening for ischaemic proliferative retinopathy
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