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儿科重症监护病房中的血液学和肿瘤急症:护士应了解的知识。

Hematologic and Oncologic Emergencies in the Pediatric Intensive Care Unit: What Nurses Should Know.

机构信息

Arizona State University, Edson College of Nursing and Health Innovation, 500 North 3rd Street, Phoenix, AZ 85004-0698, USA; Phoenix Children's Hospital, 1919 East Thomas Road, Phoenix, AZ 85016, USA.

Mott Children's Hospital, 1540 East Hospital Drive, Ann Arbor, MI 48109, USA.

出版信息

Crit Care Nurs Clin North Am. 2023 Sep;35(3):303-314. doi: 10.1016/j.cnc.2023.04.005. Epub 2023 Jun 4.

Abstract

Most children admitted to the pediatric intensive care unit with a new or reoccurring hematology or oncology diagnosis are at high risk for developing a hematologic or oncologic emergency. Although these children represent a low percentage of pediatric critical care admissions, their acuity is high, and their care is complicated and challenging. Nurses are an essential part of the interprofessional team of providers who care for these critically ill patients. Experience recognizing acute decompensation and excellent assessment and communication skills significantly improve patient outcomes.

摘要

大多数因新发或复发血液系统或肿瘤疾病而住进儿科重症监护病房的儿童都有发生血液系统或肿瘤急症的高风险。尽管这些儿童在儿科重症监护病房的收治人数中占比较低,但他们的病情危急,护理复杂且具有挑战性。护士是照顾这些重症患者的多学科医护团队的重要组成部分。具备识别病情急性恶化的经验和出色的评估及沟通技能,可显著改善患者的预后。

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