11 cases of renal amyloidosis patient care experience.docVIP

 PAGE \* MERGEFORMAT 6 11 cases of renal amyloidosis patient care experience [Keywords:] Renal amyloidosis Care Clinical renal amyloidosis are rare, the performance of clinical manifestations of nephrotic syndrome mainly given by the hospital after the kidney biopsy and renal pathology results showed that amyloid can be confirmed, its pathological features of the light microscope, amyloid can be deposited various parts of the kidney. Nephrology our hospital from 2004 to 2008, 11 patients were treated in patients with renal amyloidosis, were given during the kidneys, hormones and immunosuppressive agents (melphalan) therapy and intensive care, the symptoms improved and discharged, now care experience reported below. 1 Clinical data 11 cases of amyloidosis patients, 7 males and 4 females; age of 41 to 47 years, average 55.7 years old. The clinical presentation are the nephrotic syndrome, renal biopsy pathology diagnosis: renal amyloidosis, given hormone (strong pine 0.75 mg / kg) + immunosuppressive agents (melphalan 0.15 mg / kg 7 d) oral treatment, supplemented by kidneys, blood, blood pressure and other treatment, in January for a course of treatment, her condition improved and discharged. discharge by hormone treatment to reduce the amount of out-patient long-term follow-up. 2 Care 2.1 Psychological care Because patients with rapid progression of the disease, severe edema of both lower extremities, patients often feel despair, fear, psychological stress, insomnia, etc., for these situations, we implemented a whole after admission the patient care, nurses have worked with great sense of responsibility and compassion , warm communication with patients to introduce basic knowledge of disease and the treatment with the importance of encouraging their foster confidence and courage to overcome the disease. observe the patient’s emotional response in a timely manner to give psychological counseling and support, as far as possible to help them s