Nursing care of patients with sepsis and acute kidney injury
10.3760/cma.j.issn.1674-2907.2016.05.027
- VernacularTitle:脓毒症患者合并急性肾损伤的护理
- Author:
Yingying HU
1
;
Chunlei HE
;
Huihui DING
;
Xiaowei XU
;
Suichai LIN
;
Jing HAN
;
Bin WU
;
Zhongqiu LU
Author Information
1. 325000 温州医科大学附属第一医院急诊医学中心EICU
- Keywords:
Sepsis;
Nursing care;
Acute kidney injury
- From:
Chinese Journal of Modern Nursing
2016;22(5):697-700
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore nursing methods and characteristics of patients with sepsis and acute kidney injury to improve the success rate of treatment. Methods Clinical data of 90 patients with sepsis and acute kidney injury was collected from December 2006 to October 2011 in EICU. Treatments included correcting shock and treating primary disease positively, using antimicrobial drugs rationally, correcting acid-base imbalance and water electrolyte disorders, continuous renal replacement therapy and so on. Nursing interventions included paying attention to early fluid resuscitation, observing symptoms changes and treating complications in time, strengthening the hemodynamic monitoring and nursing for blood vessel channel. Results There were 45 patients whose renal functions recovered to normal and 45 patients who developed renal failure and died in 90 patients. Conclusions Since the mortality was high in patients with sepsis and acute kidney injury, it is important to observe the serial changes of condition closely and provide nursing effectively for the recovery of renal functions. It is helpful to improve success rate of treatment for patients with sepsis and acute kidney injury.
