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Hyperkalemia in Dialysis Patients
by Torres WSusan Kidney assistant By rescuing uremic hemodialysis patients with hyperkalemia, with positive and scientific care measures to good effect!We believe hyperkalemia in hemodialysis patients with uremia rescue process, we should note the following:
① Once uremic patients chest discomfort or bradycardia , hyperkalemia should be highly vigilant disease occurs , promptly check electrocardiogram ;
② nurses should be familiar with ECG knowledge , such as abnormal , blood testing should immediately electrolytes such as potassium high , you should inform your doctor immediately for emergency treatment ;
③ For serious arrhythmias caused by hyperkalemia uremia , hemodialysis under ECG monitoring with drug treatment can receive satisfactory results ;
④ to critical condition, poor cardiac function , low blood pressure , in order to prevent the relative lack of effective circulating volume, when dialysis establishment of cardiopulmonary bypass , the liquid should be given a certain amount of pre-washed .
⑤ acute and chronic renal failure with hyperkalemia in patients with varying degrees of hypoxemia, the flow of oxygen to increase the oxygen concentration in myocardial tissue and reduce serious complications arrhythmia , cardiac arrest occurred.
⑥ give uremic hemodialysis patients with hyperkalemia tremendous physical and mental pain , heavy ideological burden of patients , there may be fear, anxiety and other symptoms , so the medical staff to understand the patient's psychological care to their patient and meticulous , in a timely manner to dialysis patients and their families to explain the importance and precautions ;
⑦ during dialysis , the patient should be closely observed changes in vital signs , stand ready to rescue .
Hyperkalemia in patients with uremia caused more reasons, such as reducing the renal excretion of potassium , potassium intake, enter inventory of blood, taking certain drugs. When serum potassium greater than 6.5mmol / L that is, to the emergency hemodialysis . After an early rise in blood pressure in patients with serum potassium may be mildly elevated blood pressure can reduce late lack viremia similar phenomena , such as muscle aches, pale limbs, clammy numbness, fatigue, weakness, lethargy . Hyperkalemia patient's electrocardiogram showed peaked T waves , QRS widening , P -wave reduced or even disappear , P R interval prolongation , Ⅰ ~ Ⅱ degree atrioventricular block , bradycardia , ventricular fibrillation or cardiac arrest.
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About Torres WSusan 
Kidney assistant
12 connections, 0 recommendations, 32 honor points.Joined APSense since, December 22nd, 2013, From Alabama, United States.
Created on Dec 31st 1969 18:00. Viewed 0 times.
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