Hemodialysis Aftercare Instructions
A day-by-day recovery guide for hemodialysis: what to expect, how to care for yourself, and when to call. Free to read and print.
What to expect
Kidney Health Basics
- •Avoid NSAIDs (Advil, Motrin, Aleve); they harm kidneys
- •Monitor blood pressure daily; kidney disease and blood pressure are closely linked
- •Follow the renal diet to prevent dangerous electrolyte imbalances
Hemodialysis recovery, day by day
After Dialysis
- Fatigue, lightheadedness, and muscle cramps are common after sessions
- Check access site for bleeding, swelling, or signs of infection
- Weigh yourself daily at the same time; report sudden weight changes (fluid retention)
- Follow your fluid restriction closely
Diet & Fluids
- Follow your renal diet: low sodium, low potassium, low phosphorus
- Track fluid intake carefully; include soups, ice, and popsicles in your count
- High-potassium foods to limit: bananas, oranges, potatoes, tomatoes
- Protein needs vary; follow your dietitian's guidance
Ongoing Management
- Never miss a dialysis session; skipping is dangerous
- Attend all nephrology appointments and lab work
- Protect your kidneys: avoid NSAIDs (ibuprofen), limit contrast dye, stay hydrated (within your limit)
- Report any changes in urine output, swelling, or breathing difficulty
When to call your provider or 911
- •Severe shortness of breath (fluid overload)
- •Chest pain or irregular heartbeat (potassium imbalance)
- •Access site bleeding that doesn't stop with 15 min of pressure
- •Severe swelling in legs, ankles, or face
- •Fever or redness at dialysis access site
- •Confusion, severe nausea, or muscle weakness (electrolyte emergency)
When in doubt, call your clinic. For a medical emergency, call 911.
Recovery milestones
- Day 14
Adapting to dialysis
Body adjusting to dialysis schedule
- Day 30
Lab monitoring
Blood work to check kidney function and electrolytes
- Day 30
Treatment evaluation
Assess effectiveness and adjust plan as needed
For clinics
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