1 case of elderly hemodialysis patients with large upper arm hematoma nursing.docVIP

 PAGE \* MERGEFORMAT 8 1 case of elderly hemodialysis patients with large upper arm hematoma nursing [Abstract] summary of 1 case of elderly hemodialysis patients with large upper arm hematoma of nursing experience. Hematoma formation after 24 h using moist heat on the local magnesium sulfate nursing measures, and achieved satisfactory results. [Keywords:] hemodialysis, hematoma, magnesium sulfate, moist heat, care With the progress of science, improvement of living conditions, life expectancy is growing longer, the aging of our population and chronic kidney disease (chronic kidney disease, CKD incidence continues to rise, causing the old end stage renal disease (end stage renal disease, ESRD patients increasing. I center over the age of 60 maintenance hemodialysis patients accounted for 30% of the total number of dialysis patients. Changes in the performance of older intimal elastic fibers for the middle of the decrease in collagen fibers increase in vein graft intimal thickening and atrophy resulting in decreased vein elasticity, hardening [1], so the small blood vessels of older persons, easy sliding, blood vessel elasticity is poor, brittle and slow repair the wall, plus the need for frequent dialysis puncture easily lead to the formation of hematoma after puncture failure, affecting the normal dialysis patients. I Section 1 case of elderly hemodialysis patients with large upper arm hematoma moist heat method of using magnesium sulfate treatment, satisfactory results, are presented below their nursing experience. 1 Data and methods 1.1 Case information Male patient, 87 years old, with chronic renal insufficiency (uremia, anuria .2006 January start line with the left upper extremity hemodialysis vascular fistula, in March 2007 because of “the left upper arm hematoma in 1 week” from the outside into the hospital . admission clear mind, spirit can still, mild anemia appearance, clear thinking, able to communicate with them, blood pressure