Price C A
ANNA J. 1991 Jun;18(3):239-44.
The health care issues facing society today are complex. Access to care, quality of life, relative value scales, diagnosis related groups, and cost containment demands have had an impact on the decision-making processes of health care professionals. The availability of alternative therapeutic treatment modalities adds additional considerations when prescribing medical therapy. This is especially true when a patient is diagnosed with renal failure. In the past, either peritoneal dialysis or hemodialysis have been the only therapies for supporting patients with acute renal failure. This article explores continuous renal replacement therapy for the management of acute renal failure: what it is, when and where it should be used, and the responsibilities of nephrology and critical care nurses and physicians.
当今社会面临的医疗保健问题错综复杂。医疗服务的可及性、生活质量、相对价值量表、诊断相关分组以及成本控制要求等，都对医疗保健专业人员的决策过程产生了影响。在开具药物治疗处方时，可供选择的替代治疗方式又增加了额外的考量因素。当患者被诊断为肾衰竭时，情况尤其如此。过去，腹膜透析或血液透析一直是支持急性肾衰竭患者的唯一疗法。本文探讨用于治疗急性肾衰竭的连续性肾脏替代治疗：它是什么、何时何地应使用该疗法，以及肾脏病学和重症护理护士及医生的职责。
