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急性医院环境中的慢性肾脏病患者。

The chronic kidney disease patient in the acute hospital environment.

机构信息

Metabolism Associates, Yale New Haven Hospital, Avantus Renal Care, New Haven Home Dialysis, CT.

出版信息

Adv Chronic Kidney Dis. 2014 Jul;21(4):355-9. doi: 10.1053/j.ackd.2014.05.004.

Abstract

CKD is common, affecting more than 10% of the adult US population. Hospital admissions are common among these patients and present challenges for their caregivers. In the acute hospital setting, there is often a lack of awareness of the CKD patient and the best practices developed to help this population. This can place the CKD patient at risk for medication errors such as incorrect dosage or administration of a potentially harmful or unhelpful medication. CKD patients may need procedures during a hospital stay that increase their risk of adverse events. Also, common admission practices such as placing intravenous access needs to be thoughtfully considered in this population.

摘要

慢性肾脏病(CKD)较为常见,影响着美国超过 10%的成年人口。这些患者常需住院治疗,这给他们的护理人员带来了挑战。在急性医院环境中,人们往往对 CKD 患者及其最佳护理实践缺乏认识。这可能会使 CKD 患者面临药物治疗错误的风险,例如用药剂量错误或使用潜在有害或无益的药物。CKD 患者在住院期间可能需要进行增加不良事件风险的操作。此外,在该人群中,需要慎重考虑常见的入院操作,如建立静脉通路。

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