Nursing care of a patient with inhalation of nitric acid fumes treated by veno-venous extracorporeal membrane oxygenation combined with continuous renal replacement therapy
10.3761/j.issn.0254-1769.2024.19.015
- VernacularTitle:1例静脉-静脉体外膜肺氧合联合连续性肾脏替代治疗救治硝酸烟雾中毒患者的护理
- Author:
Shan CHEN
1
;
Xiaoyan YAO
;
Yanyan PAN
;
Meiling ZHAO
Author Information
1. 312000 浙江省 绍兴市人民医院重症医学科
- Keywords:
Veno-Venous Extracorporeal Membrane Oxygenation;
Nitric Acid Fumes;
Poisoning;
Acute Respiratory Distress Syndrome;
Nursing Care
- From:
Chinese Journal of Nursing
2024;59(19):2408-2413
- CountryChina
- Language:Chinese
-
Abstract:
To summarize the nursing experience of a patient with inhalation of nitric acid fumes treated by veno-venous extracorporeal membrane oxygenation combined with continuous renal replacement therapy.The key points of nursing include:to pay close attention to the changes of respiratory function,to strictly implement lung protective ventilation strategy;to timely remove airway secretions to ensure effective respiratory;to prevent and control infection;to optimize fluid management to facilitate tissue perfusion;to prevent thrombosis and reduce the risk of bleeding;prevention and treatment of blood transfusion reaction,the postoperative nursing of complicated with upper gastrointestinal bleeding.After active treatment and careful nursing,the patient was discharged from the hospital in a stable condition.After 6 months of follow-up after discharge,the patient recovered well with no pulmonary complications.
