《uremia尿毒癥案例》ppt課件-文庫吧
2025-12-07 03:31 本頁面
【正文】 常出現(xiàn)惡心嘔吐，曾急發(fā)左心衰兩次。現(xiàn)口服降壓藥壓氏達，抗貧血藥力蜚能，糾酸藥小蘇打，每周一次 Epiao。家庭經(jīng)濟狀況不好。 ? The patient has a gloomy outlook. Since the dialysis, the urine is on the decline, untill October this year the urine is zero. The SBP收縮壓 (Systolic[si39。st?lik] Blood Pressure) of the patient ranges from 140 to 190mmHg, the DBP [,dai?39。st?lik] of the patient ranges from 70 to 100mmHg. The edema[i39。di:m?] of the legs is obvious, along with the pruritus[pru39。rait?s] （瘙癢） .The nausea and vomiting happens frequently, the left heart failure happened twice. ?壓陷性水腫 Laboratory tests Normal value 202212 202203 BUN before the dialysis 2128 42 BUN after the dialysis 1/3(2128) ALB(g/L) 35 HCT(l/L) K(mmol/L) Hb(g/L) 110 40 36 Fe(mmol/L) PTH(pg/mL) 150300 1120 P(mmol/L) Cr(mmol/L) 62115 1179 1101 Blood β2micro blobulin blood urea nitrogen 血尿素氮 Nursing problem 營養(yǎng)失調(diào) 骨痛，瘙癢 體液過多 Related to excessive intake and dehydration(脫水 ) shortage. Below the body‘s requirements. Related to inadequate intake of Fe 、 protein and EPO , it lead to anemia（貧血） Related to the high phosphorus and PTH ,it lead to the Renal bone disease. 1. Fluid overload 3. Bone pain,pruritus 4. Psychological care（心理護理） Nursing problem High blood Pressure (高血壓 ) Muscle spasms （肌肉痙攣） naus
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