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Objective To summarize the nursing strategies for the patients with anti-neutrophil cytoplasmic antibody associated with vasculitis and renal damage.Methods The nursing histories of 10 patients with anti-neutrophil cytoplasmic antibody associated with vasculitis and renal damage were retrospectively analyzed to summarize the nursing strategies.Results Nine of them were discharged after improvement. Seven of them had marked decrease in serum creatinine, 2 survived by hemodialysis at the outpatient section and 1 died of severe pulmonary infection.Conclusion Such strategies as close observation of patients, prevention of complications and mental care are important for the curative effect and nursing quality for the patients with anti-neutrophil cytoplasmic antibody associated with vasculitis and renal damage.
RESUMO
Objective To investigate the effect of continuous hemofiltration in patients with acute renal injury induced by rhabdomyolysis and summarize the nursing experience.Methods Ten patients with acute kidney injury induced by rhabdomyolysis were managed with continuous hemofiltration,corresponding nursing care performed.Results After treatment,the renal function of 7 patients resumed normal,the function of 2 were improved,and only 1 needed long-term hemodialysis.After treatment,the levels of serum creatine phosphokinase(CPK),myoglobin(Mb),blood urea nitrogen(BUN),creatinine(Scr),aspartate aminotransferase(AST) were gradually decreased,K+resumed normal and urine volume increased to normal level,with significant difference as compared to those before treatment(P<0.05).Conclusions Continuous hemofiltration together with pertinent nursing measures can ensure the curative effect.It is of great significance for improving the prognosis of rhabdomyolysis.