急危重症患者并发电解质紊乱及酸碱失衡连续性血液净化的护理

Continuous Blood Purification for Critical Patients with Electrolyte Disorder and Acid-base Disturbance

总结26例电解质紊乱及酸碱失衡急危重症患者连续性血液净化的护理。准确监测电解质、酸碱平衡及血糖变化,严格遵医嘱配置置换液;液体平衡管理,精确统计各种出入量数据,准确设置置换液和超滤液速度,并及时纠正偏差;营养支持个体化,供氮和热能分别以0.025g/kg与21kJ/kg的速度逐渐调整,直至达到预期目标。本组患者治疗后,有效纠正了水、电解质、酸碱失衡,清除炎性介质。

The paper summarized the nursing of 26 critical patients with electrolyte disorder and acid-base disturbance undergoing continuous blood purification. Close observation of electrolyte, acid-base balance and blood sugar, strict preparation of displacement liquid, accurate estimation of input and output amount, timely error adjustment and personalized nutrition support were essential for blood purification. Eventually, water, electrolyte and acid-base balances were resumed and inflammatory factors eliminated.