A patient with rhabdomyolysis complicated with acute renal injury receiving continu-ous renal replacement therapy combined with hemoperfusion
10.3761/j.issn.0254-1769.2024.24.006
- VernacularTitle:1例横纹肌溶解合并急性肾损伤患者行连续性肾脏替代治疗联合血液灌流的护理
- Author:
Linyan ZHANG
1
;
Xueli SHEN
;
Tao LIANG
Author Information
1. 100037 北京市 中国医学科学院阜外医院肾内科
- Publication Type:Journal Article
- Keywords:
Rhabdomyolysis;
Acute Kidney Injury;
Continuous Renal Replacement Therapy;
Hemoperfu-sion;
Nursing Care
- From:
Chinese Journal of Nursing
2024;59(24):2986-2989
- CountryChina
- Language:Chinese
-
Abstract:
To summarize the nursing experience of a patient with rhabdomyolysis complicated with acute kidney injury receiving continuous renal replacement therapy combined with hemoperfusion.Nursing points:to establish a multidisciplinary care team before treatment in order to provide whole-process management;to develop personalized nutrition management to improve nutrition status;to closely monitor the circulation of blood volume,to be alert to the occurrence of extracorporeal circulation clotting and bleeding events;to conduct strict capacity management to correct electrolyte and acid-base balance disorders;to monitor the condition of deep vein thrombosis of lower extremity and prevent pulmonary embolism;to beware of first-use syndrome to implement response measures rapidly;to carry out limb function exercise to prevent muscle atrophy.After careful treatment and care,the patient was successfully discharged from the hospital after 12 d.The patient was followed up in the outpatient clinic for 3 months.Outpatient follow-up lasted for 3 months,and all indicators were in the normal range,and the patient recovered well.
