Why is it important to achieve the estimated dry weight during hemodialysis?

Achieving the estimated dry weight during hemodialysis is crucial because it helps maintain optimal blood pressure and cardiovascular health. The dry weight is the target weight at which the patient is neither fluid overloaded nor dehydrated after dialysis, reflecting their true body weight without excess fluid. Properly identifying and reaching this weight can prevent complications such as hypertension, edema, and heart stress, which are heightened when excess fluid is present in the body.

Maintaining blood pressure within a normal range supports overall cardiovascular health, reducing the risk of heart failure and other cardiovascular diseases commonly associated with chronic kidney disease. Excess fluid can lead to increased blood volume and subsequently higher blood pressure, which places additional strain on the heart.

Focusing on dry weight also contributes to more effective dialysis sessions, as fluid removal is more accurately aligned with the patient’s needs, leading to better outcomes and quality of life for those undergoing treatment.