血液透析个案护理 ppt课件

Blood: WBC 18.5, HGB 56g/L Urine: albumin 2.0g / L, WBC 16.2 / L
B-Tip: kidneys shrink, sonographic abnormalities (in accordance with the ultrasound images of kidney disease), prostatic calcification, abdominal effusion, I dialysis diuretic, antihypertensive therapy. Ray: increased heart shadow.
XXX，XX岁，XXX入院，XXX开始透析，透析频率：X次/周。
Chief Complaint: repeated fatigue, chest tightness, more than X months . Oliguria for X month , diarrhea X days.
主诉：反复乏力、胸闷X月有余，尿少X月，腹泻X天。
yellow watery stoolsX times, with abdominal pain, no
nausea, vomiting, no fever, no treatment. X this year, our
hospital.
X余前无明显诱因出现乏力、胸闷，无气促、心悸、胸痛，无发热恶
心呕吐，无头晕、头痛。在当地医院诊断为“尿毒症”，予尿毒清服
A case of care for dialysis patients
人工透析患者的个案护理
Hubei Medical University XX学校
XXX XXX
2020/11/13
1
Firstly：Patient data(患者资料）
XXX , XX years old , XXX admission, XXX dialysis, dialysis frequency: X times / week.
More than X year-old suffering from acute nephritis, to penicillin treatment, mitigation, and on X this year in hospital emergency abdominal paracentesis drainage. No hypertension, no diabetes, no history of rheumatic heart disease, no history of allergies, poisoning history.
X余岁患急性肾炎，予青霉素治疗后缓解 ，今年X日在我院急诊行腹腔穿刺引流术 。无高血压、无糖尿病、无风湿性心脏病 史、无过敏史、无中毒史。
2020/11/13
6
Laboratory tests（实验室检查）：
Biochemical ：Creatinine 2245umol/L,Bun 88.94mol/L ,co2-cp 15.4mmol/L, Potassium 7.09 mmol/L 。
2020/11/13
2
精品资料
• 你怎么称呼老师？
• 如果老师最后没有总结一节课的重点的难点，你 是否会认为老师的教学方法需要改进？
• 你所经历的课堂，是讲座式还是讨论式？ • 教师的教鞭
• “不怕太阳晒，也不怕那风雨狂，只怕先生骂我 笨，没有学问无颜见爹娘 ……”
• “太阳当空照，花儿对我笑，小鸟说早早早……”
edema and abdominal distension, urine output less than
100ml / d, the edema gradually increased with shortness of
breath. Diarrhea 10 days before the obvious lure solution
2020胸/11/片13：心影增大。
7
Secondly. Care issues and measures (护理问题及措施)
1. Fluid overload Damage and acute renal failure due to glomerular filtration rate.
2. 体液过多 与急性肾衰竭时所致的肾小球率过功能 受损有关。
生化： 肌酐 2245umol/L,Bun 88.94mol/L ,co2-cp 15.4mmol/L,血k 7.09 mmol/L 。
血常规：WBC 9.19，HGB 56g/L
尿常规：白蛋白2.0g/L ,WBC 16.2/L
B超提示：双肾缩小、声像图异常（符合肾脏疾病声像图改变）， 前列腺钙化，盆腹腔积液，予透析利尿，降压治疗。
来自百度文库药治疗。症状无改善。X个月前上述症状加重伴尿量逐渐减少，双下
肢水肿及腹胀、尿量小于100ml/d，水肿逐渐加重伴气促。10天前
明显诱引下出现腹泻，每日解黄色水样便X次，伴上腹隐痛，无恶心
2020、/11呕/13吐、无发热、未治疗。今年X来我院就诊。
5
Past medical history(既往史)：
History of present illness(现病史):
X more than a month ago, no obvious incentive to appear
weak, chest tightness, shortness of breath, palpitations,
chest pain, no fever, nausea, vomiting, dizziness, headache.
Diagnosed as "uremia" at a local hospital, For Niaoduqing
medication. No improvement of symptoms. X, the above
symptoms with urine gradually reduced, lower extremity