急性肾功能衰竭及其并发症,紧急透析的适应症和透析方式。

IF 1 Q4 CRITICAL CARE MEDICINE
Luba Muaddi, Chelsea Ledgerwood, Robyn Sheridan, Tiffany Dumont, Khaled Nashar
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引用次数: 0

摘要

急性肾损伤或急性肾功能衰竭常见于血流动力学损害的危重病人。透析经常用于重症监护病房,作为代谢紊乱、体液状态和电解质问题的重症监护管理的一部分。床边重症监护护士必须能够识别急性肾损伤,并熟悉用于处理肾衰竭代谢后果的模式,这对于床边护士在床边操作连续肾替代机尤为重要。本文将回顾危重患者急性肾损伤的常见风险和原因,保守治疗与肾替代治疗的适应症,急性肾损伤的预防,以及肾功能衰竭的重要后果,如电解质紊乱和尿毒症。我们还将简要介绍急性肾损伤常见的具体情况,如肝肾综合征、心肾综合征、横纹肌溶解和肿瘤溶解综合征。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Acute Renal Failure and Its Complications, Indications for Emergent Dialysis, and Dialysis Modalities.

Acute kidney injury or acute renal failure is commonly observed in the critically ill patient with hemodynamic compromise. Dialysis is frequently used in the intensive care units as part of the critical care management of metabolic derangements fluid status and electrolyte issues. It is imperative that the bedside critical care nurse is able to identify acute kidney injury and is familiar with the modalities used to manage the metabolic consequences of renal failure, particularly important as the bedside nurse is operating the continuous renal replacement machine at the bedside. This article will review the common risks and causes of acute kidney injury in the critically ill patient, indications for conservative management versus initiation of renal replacement therapy, prevention of acute kidney injury, and important consequences of renal failure such as electrolyte disturbances and uremia. We will also briefly touch on specific conditions where acute kidney injury is common such as hepatorenal syndrome, cardiorenal syndrome, rhabdomyolysis, and tumor lysis syndrome.

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来源期刊
Critical Care Nursing Quarterly
Critical Care Nursing Quarterly CRITICAL CARE MEDICINE-
CiteScore
2.60
自引率
0.00%
发文量
76
期刊介绍: Critical Care Nursing Quarterly (CCNQ) is a peer-reviewed journal that provides current practice-oriented information for the continuing education and improved clinical practice of critical care professionals, including nurses, physicians, and allied health care professionals.
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