The prevention and nursing of contrast-induced nephropathy within peri-operation period of cardiac resynchronization therapy

VernacularTitle:心脏再同步化治疗围手术期造影剂肾病的防治及护理
Author: Qing-Xiu NING ¹ ; Ye LI
Author Information

1. 解放军总医院
Keywords: Cardiac resynchronization therapy; Contrast-induced nephropathy; Nursing
From: Chinese Journal of Modern Nursing 2010;16(14):1658-1660
CountryChina
Language:Chinese
Abstract: Objective To explore the prevention and nursing strategies of contrast-induced nephropathy (CIN) in patients with congestive heart failure (CHF) within peri-operation period of cardiac resynchronization therapy (CRT). Methods Thirty inpatients with CHF from June 2007 to September 2009 were studied. All 30 patients received hydration therapy within peri-operation period and different contrast agents were administrated based on renal function of patients. The prevention and nursing measures, such as strictly limited the dosage of contrast agents were adopted. Results The heart function was significantly improved in all patients. There were no changes in renal function of 24 patients. However, 6 patients occurred the symptom of serum creatine increasing and 2 of whom was diagnosis as CIN and 1 patient degenerated into end stage renal function which relied on dialysis. Conclusions The comprehensive prevention and nursing measures including carefully evaluating renal function, taking the therapies of hydration and alkalization therapy can effectively prevent CIN for CHF patients receiving CRT.