The Nursing Experience of Medication for Hemodialysis Patients_West China Medical Journal

Authors：

 ZHUYing , ZHOULi , FUPing ,  CHENLin , DIAOYong-shu , FUChun-lian

Hemodialysis Center, Department of Nephrology, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

CHENLin, Email: hxxuetou@163.com

Keywords：

Hemodialysis; Medication; Adverse Effect; Nursing

DOI：

10.7507/1002-0179.20140523

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective To summarize and improve the nursing skills of medication for hemodialysis patients. Methods We observed and took nursing measures for adverse medication events in 280 hemodialysis patients treated in our dialysis center from July 2013 to December 2013, and actively prevented all kinds of complications caused by medications. Results In this group of patients, 26 had adverse drug events. Five patients with bleeding after central venous catheter indwelling were cured by changing the dressings. One patient had heparin induced thrombocytopenia, and the complication disappeared after the use of non-heparin hemodialysis. One patient had urokinase allergic reaction, and the complication disappeared by cardio-pulmonary resuscitation. One patient had EPO associated pure red cell aplastic anemia, and the patient did not suffer from it any more by changing the EPO. Two patients with high blood pressure recovered to normal by reducing the use of blood for rHuePO. One had allergic reaction for Iron Dextran Injection and was successfully treated by ICU. Six patients with severe reactive hypoglycemia were corrected quickly by intravenous injection of 50% glucose injection. One patient with adverse reaction to levocarnitine was cured by lowering the frequency of medication to one time per week. Two patients had flu-like symptoms after the use of biological agents were cured by stoppage of the medicine. Conclusion Adverse drug effect should be carefully observed, and patients' education and nursing skills of medical workers should be improved to ensure the medication safety of hemodialysis patients.

Citation： ZHUYing, ZHOULi, FUPing, CHENLin, DIAOYong-shu, FUChun-lian. The Nursing Experience of Medication for Hemodialysis Patients. West China Medical Journal, 2014, 29(9): 1716-1719. doi: 10.7507/1002-0179.20140523 Copy

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1. 劉雙信,史偉,梁馨岺,等.科莫非導致嚴重過敏反應2例報道[J].中國血液凈化,2005,4(12):687-688.
2. Jeremy L.牛津臨床透析手冊[M].北京:人民衛生出版社,2010:385.
3. 王志剛.血液凈化學[M].北京:北京科學技術出版社,2010:1367.
4. 沈清瑞,葉任高,余學清.血液凈化與腎移植[M].北京:人民衛生出版社,1999:54.
5. 陳益,丁曉仙,郁麗霞.規律性尿激酶肝素混合封管液在血透長期留置導管中的應用及護理[J].中外醫學研究,2014,10(11):141-142.
6. 陳靜,尹定叢.左卡尼汀的臨床應用進展[J].中國醫藥導報,2010,7(22):9-10.
7. 文艷秋,刁永書.腎臟內科護理手冊[M].北京:科學出版社,2011:106.
8. 陳香美.血液凈化標準操作規程[M].北京:人民軍醫出版社,2010:22.
9. 陳肖蕾,鄭浩天,朱亞玲,等.不同血液凈化方式對維持性血液透析患者促紅細胞生成素治療效果的影響[J].華西醫學,2013,28(5):660-663.
10. 劉勁,秦文俊.血液透析機原理及最新進展[J].中國醫療設備,2008,23(2):50-52.
11. 季大璽.血液透析的過去、現狀和未來[J].中國中西醫結合腎病雜志,2009,10(3):189-191.
12. 孔繁瑩,李秋潔,楊曉梅.血液透析治療的發展現狀與建議[J].護理管理雜志,2008,8(7):15-19.
13. 左力.國內外血液透析現狀與展望[J].中國護理管理,2013,13(8):8-9.
14. 徐桃英.尿激酶封管在預防中心靜脈長期導管堵塞中的應用[J].現代診斷與治療,2014,25(3):502-503.
15. 米緒華,冉建平,張杰蔗.蔗糖鐵注射液治療血液透析患者腎性貧血的療效與安全性觀察[J].中國血液凈化,2009,8(2):67-69.
16. 陳彩玲,袁鵬英,谷一薄,等.維持性血液透析高血壓患者延續性護理應用效果評價[J].中國血液凈化,2013,12(7):404-406.

West China Medical Journal

The Nursing Experience of Medication for Hemodialysis Patients

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