Certified Clinical Hemodialysis Technician (CCHT) Practice Exam 2025 - Free CCHT Practice Questions and Study Guide

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What is a common reason for a patient to experience muscle cramps during dialysis?

Insufficient hydration before treatment

Rapid removal of fluid or electrolytes

Muscle cramps during dialysis are commonly associated with the rapid removal of fluid or electrolytes from the patient's body. During hemodialysis, the process involves the filtration of the blood and the removal of excess fluids and waste products, which can lead to a significant change in fluid and electrolyte balance. When fluid is removed too quickly, it can result in a condition known as relative hypovolemia, or a sudden drop in blood volume, which may trigger muscle cramps as the body responds to these rapid changes.

Additionally, the electrolyte imbalances that can occur, especially with sodium and potassium, may also contribute to muscle cramping. Due to the nature of dialysis, where electrolytes are altered, rapid shifts can cause muscles to react, leading to cramping.

Understanding the dynamics of fluid and electrolyte balance during dialysis can help technicians manage and anticipate such complications, enabling them to implement strategies to minimize discomfort and potential complications for patients.

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Overexertion in physical activities

Low levels of potassium in the diet

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