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Back ground: Chronic Renal Failure (CRF) is the state which results permanent progressive reduction in
renal function. In the developing countries the awareness and burden of CRF on society has been high
lightened during Past decade years. The risk factors such as obesity, smoking, hypertension, uncontrolled
diabetes mellitus favours the progress of renal failure among the old age population1. Hemodialysis is a
method that is used to achieve the extracorporeal removal of waste products such as
creatinine and urea and free water from the blood when the kidneys are in a state of renal failure. The
principle of Hemodialysis is the same as other methods of dialysis it involves diffusion of solutes across a
semi permeable membrane. Hemodialysis utilizes counter current flow where the dialysate is flowing in
the opposite direction to blood flow in the extracorporeal circuit. Counter-current flow maintains the
concentration gradient across the membrane at a maximum and increases the efficiency of the dialysis.
This case study survey was done to highlight the intra- dialysis complications faced during Hemodialysis
procedure. The findings were analyzed and reported. The case report gives us the actual picture of
dialysis complication and the causes underlying behind it2.
Key words: Intra dialysis complications, Hypotension, Chills, Fever, Muscle cramps.