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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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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2. Jeremy L.牛津临床透析手册[M].北京:人民卫生出版社,2010:385.
3. 王志刚.血液净化学[M].北京:北京科学技术出版社,2010:1367.
4. 沈清瑞,叶任高,余学清.血液净化与肾移植[M].北京:人民卫生出版社,1999:54.
5. 陈益,丁晓仙,郁丽霞.规律性尿激酶肝素混合封管液在血透长期留置导管中的应用及护理[J].中外医学研究,2014,10(11):141-142.
6. 陈静,尹定丛.左卡尼汀的临床应用进展[J].中国医药导报,2010,7(22):9-10.
7. 文艳秋,刁永书.肾脏内科护理手册[M].北京:科学出版社,2011:106.
8. 陈香美.血液净化标准操作规程[M].北京:人民军医出版社,2010:22.
9. 陈肖蕾,郑浩天,朱亚玲,等.不同血液净化方式对维持性血液透析患者促红细胞生成素治疗效果的影响[J].华西医学,2013,28(5):660-663.
10. 刘劲,秦文俊.血液透析机原理及最新进展[J].中国医疗设备,2008,23(2):50-52.
11. 季大玺.血液透析的过去、现状和未来[J].中国中西医结合肾病杂志,2009,10(3):189-191.
12. 孔繁莹,李秋洁,杨晓梅.血液透析治疗的发展现状与建议[J].护理管理杂志,2008,8(7):15-19.
13. 左力.国内外血液透析现状与展望[J].中国护理管理,2013,13(8):8-9.
14. 徐桃英.尿激酶封管在预防中心静脉长期导管堵塞中的应用[J].现代诊断与治疗,2014,25(3):502-503.
15. 米绪华,冉建平,张杰蔗.蔗糖铁注射液治疗血液透析患者肾性贫血的疗效与安全性观察[J].中国血液净化,2009,8(2):67-69.
16. 陈彩玲,袁鹏英,谷一薄,等.维持性血液透析高血压患者延续性护理应用效果评价[J].中国血液净化,2013,12(7):404-406.

West China Medical Journal

The Nursing Experience of Medication for Hemodialysis Patients

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