uremia尿毒癥案例ppt課件(編輯修改稿)
2025-02-01 03:31 本頁面
【文章內容簡介】 ea and vomiting (惡心嘔吐 ) High potassium hematic disease (高鉀血癥 ) Acute left heart failure（急性左心衰） Complications (并發(fā)癥 ) 1. Fluid overload 嚴格限制水鈉入量，透析間體重增長小于 5%干體重。 Strictly limit the amount of water ， the growth of the weight is less than 5% of dry weight. 增加透析次數，可改為每周兩次 HD，一次 HDF。 increase the times of dialysis,it may be 2 hemodialysises and 1 hemodiafiltration every week. ? 血液透析濾過 是在血液透析基礎上，利用透析濾過膜來清除中分子毒素，故尿毒癥患者出現 中分子毒素 蓄積表現如嚴重心包炎、心包積液、周圍神經病變時，均可考慮使該療法。與血液透析相比，血液透析濾過不僅能清除中分子毒性物質，還能保證不影響小分子毒素清除效率，因此，特別適于需要血液濾過又不能增加透析次數患者；血液透析濾過具有心血管狀態(tài)穩(wěn)定特點，故適于普通血液透析時易發(fā)生低血壓不耐受超濾患者。 Tips ?Use the cup which has scale。 ?Eat something sour when feels thirsty. ?Use the cold water to gargle. ?Guide the patient to weigh seriously before and after the dialysis. malnutrition Fe ALB EPO Management ?每日攝入充足熱量的前提下，增加優(yōu)質蛋白的攝入（ ） ,50%以上的蛋白應來自奶類、蛋類、魚類、肉。 Besides the adequate heat,increase the input of highquality protein,50% of the protein should be e from milk、 eggs、 fish and meat. ? increase the input of food which not only contain much Fe but also has high absorption rate,for example,meat、liver、 blood、 kelp and black ,the food which has rich VitC can help Fe 、 coffee and tea should be avioded. ? Use EPO according to the doctor39。s order,and supply th
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