Nursing strategies for patients with blood purification in the treatment of bee stings-related acute kidney injury_West China Medical Journal

Authors：

ZHANG Xu , LIU Yan , WEN Yang , JIANG Xushun ,  DU Xiaogang

Department of Nephrology, the First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, P. R. China;

Corresponding author：

DU Xiaogang, Email: dxgcxm@163.com

Keywords：

Bee stings; acute kidney injury; blood purification; nursing strategies

DOI：

10.7507/1002-0179.202406093

Video：

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Severe bee stings can trigger a systemic inflammatory response and multi-organ dysfunction, potentially resulting in fatality. Acute kidney injury (AKI) is a frequent complication in patients with severe bee stings, and conventional comprehensive treatment combined with various blood purification therapies is commonly employed in clinical practice to promptly manage the condition and reduce the average hospital stay duration. This article primarily delves into the significance of enhanced clinical nursing care for patients with bee stings-induced AKI undergoing blood purification therapy. Specifically, it underscores the importance of patient education regarding treatment-related considerations, nursing techniques for vascular access during treatment, potential complications, and corresponding nursing interventions.

Citation： ZHANG Xu, LIU Yan, WEN Yang, JIANG Xushun, DU Xiaogang. Nursing strategies for patients with blood purification in the treatment of bee stings-related acute kidney injury. West China Medical Journal, 2024, 39(7): 1137-1139. doi: 10.7507/1002-0179.202406093 Copy

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2.	Deng YY, Shen JM, Mao YN, et al. Sustained low-efficiency diafiltration is superior to hemodialysis in promoting renal function recovery in elderly wasp sting victims with stageⅢacute kidney injury: a retrospective study. Ren Fail, 2019, 41(1): 814-820.
3.	Daher Ede F, Oliveira RA, Silva LS, et al. Acute renal failure following bee stings: case reports. Rev Soc Bras Med Trop, 2009, 42(2): 209-212.
4.	Grisotto LS, Mendes GE, Castro I, et al. Mechanisms of bee venom-induced acute renal failure. Toxicon, 2006, 48(1): 44-54.
5.	李敏, 杨虎勇, 杨伟伟, 等. 基于 MIMIC-Ⅲ数据库的重症患者急性肾损伤预后预测模型的建立. 中华危重病急救医学, 2021, 33(8): 949-954.
6.	朱冉君, 芦良花. 1 例蜂蛰伤合并多器官功能衰竭患者的护理. 当代护士(上旬刊), 2020, 27(9): 169-170.
7.	杨美玲, 谢莉, 董传江, 等. 宜昌地区老年蜂蛰伤急性肾损伤患者临床特征及危险因素. 中国老年学杂志, 2020, 40(5): 1024-1027.
8.	冯学芳. 蜂蛰伤患者的临床急救护理研究. 家庭生活指南, 2020(2): 98.
9.	岑柱贵. 血液灌流治疗蜂蜇伤的护理效果观察. 人人健康, 2020(2): 129-130.
10.	刘益丽, 翟园园. 连续性静脉-静脉滤过联合血液灌流治疗蜂蛰伤所致急性肾功能衰竭的效果及预后观察. 国际医药卫生导报, 2020, 26(17): 2573-2575.
11.	张琼, 王彩凤, 梁哲. 黄蜂蛰伤临床特点及急性肾损伤的危险因素分析. 现代泌尿外科杂志, 2019, 24(11): 944-947.
12.	黄兴萍. 蜂蛰伤患者的急救与护理分析. 医学食疗与健康, 2019(12): 138-139.
13.	杨晓丹. CVVH 联合 HP 治疗蜂蛰伤所致急性肾功能衰竭的效果观察. 中国民康医学, 2019, 31(12): 47-49.
14.	张彬, 何娅妮. 蜂蛰伤导致急性肾损伤的防治. 中华肾病研究电子杂志, 2019, 8(1): 38-40.
15.	李周雯. 蜂蜇伤患者急救中护理分析. 中西医结合心血管病电子杂志, 2019, 7(1): 143-144.
16.	周积逢, 苏海瑕. 蜂蛰伤致急性肾损伤联合血液净化治疗与护理进展. 护理实践与研究, 2018, 15(12): 29-31.
17.	赵琳琳, 刘禧, 刘光萍. 中心静脉置管在血液净化中的应用及护理//贵州省中西医结合学会肾病专业委员会. 2018 年贵州省中医药继续教育学习班暨贵州省中西医结合学会肾病专业委员会学术年会论文集. 贵阳市第二人民医院肾病风湿科, 2018: 5.
18.	石青. 1 例蜂蛰伤患者的急救与护理. 世界最新医学信息文摘, 2018, 18(46): 180.
19.	王雅. 预见性护理对血液净化患者低血压影响研究. 中国城乡企业卫生, 2022, 37(10): 78-80.
20.	梁元卿, 钏新, 徐晓晴. 蜂蛰伤合并多器官功能衰竭患儿的救治与护理体会. 齐鲁护理杂志, 2018, 24(5): 106-108.

1. Silva GBD Junior, Vasconcelos AG Junior, Rocha AMT, et al. Acute kidney injury complicating bee stings - a review. Rev Inst Med Trop Sao Paulo, 2017, 59: e25.
2. Deng YY, Shen JM, Mao YN, et al. Sustained low-efficiency diafiltration is superior to hemodialysis in promoting renal function recovery in elderly wasp sting victims with stageⅢacute kidney injury: a retrospective study. Ren Fail, 2019, 41(1): 814-820.
3. Daher Ede F, Oliveira RA, Silva LS, et al. Acute renal failure following bee stings: case reports. Rev Soc Bras Med Trop, 2009, 42(2): 209-212.
4. Grisotto LS, Mendes GE, Castro I, et al. Mechanisms of bee venom-induced acute renal failure. Toxicon, 2006, 48(1): 44-54.
5. 李敏, 杨虎勇, 杨伟伟, 等. 基于 MIMIC-Ⅲ数据库的重症患者急性肾损伤预后预测模型的建立. 中华危重病急救医学, 2021, 33(8): 949-954.
6. 朱冉君, 芦良花. 1 例蜂蛰伤合并多器官功能衰竭患者的护理. 当代护士(上旬刊), 2020, 27(9): 169-170.
7. 杨美玲, 谢莉, 董传江, 等. 宜昌地区老年蜂蛰伤急性肾损伤患者临床特征及危险因素. 中国老年学杂志, 2020, 40(5): 1024-1027.
8. 冯学芳. 蜂蛰伤患者的临床急救护理研究. 家庭生活指南, 2020(2): 98.
9. 岑柱贵. 血液灌流治疗蜂蜇伤的护理效果观察. 人人健康, 2020(2): 129-130.
10. 刘益丽, 翟园园. 连续性静脉-静脉滤过联合血液灌流治疗蜂蛰伤所致急性肾功能衰竭的效果及预后观察. 国际医药卫生导报, 2020, 26(17): 2573-2575.
11. 张琼, 王彩凤, 梁哲. 黄蜂蛰伤临床特点及急性肾损伤的危险因素分析. 现代泌尿外科杂志, 2019, 24(11): 944-947.
12. 黄兴萍. 蜂蛰伤患者的急救与护理分析. 医学食疗与健康, 2019(12): 138-139.
13. 杨晓丹. CVVH 联合 HP 治疗蜂蛰伤所致急性肾功能衰竭的效果观察. 中国民康医学, 2019, 31(12): 47-49.
14. 张彬, 何娅妮. 蜂蛰伤导致急性肾损伤的防治. 中华肾病研究电子杂志, 2019, 8(1): 38-40.
15. 李周雯. 蜂蜇伤患者急救中护理分析. 中西医结合心血管病电子杂志, 2019, 7(1): 143-144.
16. 周积逢, 苏海瑕. 蜂蛰伤致急性肾损伤联合血液净化治疗与护理进展. 护理实践与研究, 2018, 15(12): 29-31.
17. 赵琳琳, 刘禧, 刘光萍. 中心静脉置管在血液净化中的应用及护理//贵州省中西医结合学会肾病专业委员会. 2018 年贵州省中医药继续教育学习班暨贵州省中西医结合学会肾病专业委员会学术年会论文集. 贵阳市第二人民医院肾病风湿科, 2018: 5.
18. 石青. 1 例蜂蛰伤患者的急救与护理. 世界最新医学信息文摘, 2018, 18(46): 180.
19. 王雅. 预见性护理对血液净化患者低血压影响研究. 中国城乡企业卫生, 2022, 37(10): 78-80.
20. 梁元卿, 钏新, 徐晓晴. 蜂蛰伤合并多器官功能衰竭患儿的救治与护理体会. 齐鲁护理杂志, 2018, 24(5): 106-108.

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Nursing strategies for patients with blood purification in the treatment of bee stings-related acute kidney injury

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