Nursing care of a patient with antineutrophil cytoplasmic antibody associated vasculitis and autoimmune hemolytic anemia, hemophagocytic syndrome
10.3760/cma.j.cn211501-20200730-03380
- VernacularTitle:一例抗中性粒细胞胞质抗体相关性血管炎并自身免疫性溶血性贫血及噬血细胞综合征患者的护理
- Author:
Chunxiao PENG
1
;
Hongquan WANG
Author Information
1. 湖北省荆门市第二人民医院血液、风湿免疫内科 448000
- Keywords:
Nursing care;
Antineutrophil cytoplasmic antibody associated vasculitis;
Autoimmune hemolytic anemia;
Hemophagocytic syndrome;
Systemic damage
- From:
Chinese Journal of Practical Nursing
2021;37(20):1590-1596
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To summarize the nursing care of a patient with antineutrophil cytoplasmic antibody associated vasculitis and autoimmune hemolytic anemia, hemophagocytic syndrome.Methods:A patient with antineutrophil cytoplasmic antibody associated vasculitis and autoimmune hemolytic anemia, hemophagocytic syndrome on March 24, 2020 in Jingmen Second People′s Hospital was selected. The key points in nursing were targeted nursing such as high fever, for complications(hypothermia and shock); actively monitor systemic damage and preventive care of complications; including prevention of exacerbation of hemolysis and prevention of complications after blood transfusion;observation and nursing of prevention of bleeding and disseminated intravascular coagulation;renal function monitoring, evaluation and prevention of complications; nursing of respiratory failure and prevention of complications,and medication nursing.Results:After careful treatment and care, the patient's body temperature returned to normal, and respiratory failure was corrected. There was no worsening of hemolysis, bleeding, disseminated intravascular coagulation, or renal failure. Hemoglobin, platelets, erythrocyte sedimentation rate, and serum ferritin were normal after repeated examinations, and the patient was discharged smoothly.Conclusions:According to the clinical characteristics and individual conditions of the patient,systemic damage monitoring and prevention of complications,accurate assessment and observation of the condition,and targeted protective measures are the keys to reducing systemic damage,complications and successful nursing care.
