Critically ill patients with acute renal failure who receiving the dialysis therapy were suffered from many
complication: dialysate during hemodialysis session. Aim: this study was carried out to investigate the effect of
nursing guidelines for Complications of acetate and bicarbonate Solutions during hemodialysis among acute renal
failure patients, Assuit University Hospital. Design: Quasi experimental design. Setting: This study was carried out
at hemodialysis unit, ICUs Assuit University Hospital. Subjects: Sixty adult male and female critically ill patients
with acute renal failure who are admitted to hemodialysis unit. Tools: Two tools were developed by the researcher
and used in this study which are; tool I: Personal and medical data sheet and hemodialysis, tool II: Hemodialysis
complications assessment sheet. Methods: Interview, observation and reviewing patient`s records where utilized to
collect data pertinent to the study. Each patient was monitored closely and give nursing care for ten minutes before
connection, during the dialysis session and ten minutes after disconnection from dialysis machine three times per
week for two successive weeks. Results: The acetate groups had experienced many complications rather than
bicarbonate. There was a significant statistical difference between both groups with (p value=0.001). The
complications developed where, hypotension, chest pain, dysrhythmia, muscle cramps, nausea, vomiting, headache,
pruritus. Conclusion: Nursing care reduces complications for both groups acetate and bicarbonate dialysis
documented lesser complications in bicarbonate than acetate group. Recommendation: Replication of this research
on a larger probability sample acquired from different geographical areas in the Arab republic of Egypt.
[Naglaa Elrashedy, Warda Mohammed, Mona Mohammed, Mervat Abdel-Aziz and Maher Abd El Naser. Effect of
Nursing guidelines to reduce Complications of Acetate and Bicarbonate Solutions during Hemodialysis
among Acute Renal Failure Patients, Assuit University Hospital.