Hemoperfusion Causes of hypotension and nursing.docVIP

 PAGE \* MERGEFORMAT 8 Hemoperfusion Causes of hypotension and nursing [Keywords:] blood perfusion, low blood pressure, blood Nursing Perfusion is a clinical emergency treatment of drug poisoning, toxic poisoning, the preferred method. As a secondary symptom of the primary disease and a variety of rescue and treatment factors, patients often have multiple complications, including hypotension, blood perfusion is the most common and most risk of complications. blood pressure of more than 25% of basal blood pressure, seriously affecting the success rate. In this paper, 22 cases of poisoning patients in our hospital of blood perfusion in the process of reason and observation of hypotension were analyzed Nursing . 1 Clinical data 1.1 General Information The group, 22 patients were from 1 November 2004 central line in my blood perfusion of the patients, including 8 males and 14 females, aged 18 to 41 years, both oral poisoning, of which 9 of organophosphorus pesticide poisoning cases, 5 cases of poisoning, sedative hypnotics, anti-drug poisoning, mental disorders, 2 cases, 1 case of tetramine poisoning, fish bile poisoning in 2 cases, 3 cases of poisoning of unknown cause. are used in Germany B. Braun hemodialysis machines, Ireland, one-time carbon kidney (YTS 150 type) hemoperfusion treatment, treatment time was 2 h. 1.2 Treatment methods and results in hypotension occurred during perfusion of 22 cases of poisoning patients, 12 patients with immediate cessation of ultrafiltration, added 100 ~ 500 ml normal saline solution, to continue to the end of perfusion, 1 drop in blood pressure associated with rapid and nausea, vomiting, muscle cramps, loss of consciousness, etc., ahead of the end of treatment, 4 patients given low temperature and high sodium perfusion therapy, 5 patients using variable sodium dialysis perfusion. application of preventive measures to prevent excessive ultrafiltration, to maintain plasma osmotic pressure, increased dialysate sodi