Ellison Deborah, Farrar Francisca Cisneros
Austin Peay State University, School of Nursing, 601 College Street, Clarksville, TN 37043, USA.
Austin Peay State University, School of Nursing, 601 College Street, Clarksville, TN 37043, USA.
Nurs Clin North Am. 2018 Dec;53(4):469-480. doi: 10.1016/j.cnur.2018.05.004. Epub 2018 Oct 11.
The frontline nurse is confronted daily with patients that have some type of kidney dysfunction or disease. Some renal issues resolve themselves, some disorders can be reversed, and others are permanent. Major complications from kidney impairment discussed are fluid and electrolyte disequilibrium with common problems in volume overload, hyperkalemia, metabolic acidosis, hyperphosphatemia, and hormonal secretion. Each problem is presented with potential clinical manifestations and management.
一线护士每天都会面对患有某种类型肾功能障碍或疾病的患者。一些肾脏问题可自行解决，一些病症可以逆转，而其他的则是永久性的。文中讨论的肾脏损害的主要并发症包括液体和电解质失衡，常见问题有容量超负荷、高钾血症、代谢性酸中毒、高磷血症和激素分泌异常。每个问题都介绍了潜在的临床表现及处理方法。
