ZHUYing , ZHOULi , FUPing , CHENLin , DIAOYong-shu , FUChun-lian
  • Hemodialysis Center, Department of Nephrology, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
CHENLin, Email: hxxuetou@163.com
Hemodialysis; Medication; Adverse Effect; Nursing
10.7507/1002-0179.20140523
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Objective To summarize and improve the nursing skills of medication for hemodialysis patients. Methods We observed and took nursing measures for adverse medication events in 280 hemodialysis patients treated in our dialysis center from July 2013 to December 2013, and actively prevented all kinds of complications caused by medications. Results In this group of patients, 26 had adverse drug events. Five patients with bleeding after central venous catheter indwelling were cured by changing the dressings. One patient had heparin induced thrombocytopenia, and the complication disappeared after the use of non-heparin hemodialysis. One patient had urokinase allergic reaction, and the complication disappeared by cardio-pulmonary resuscitation. One patient had EPO associated pure red cell aplastic anemia, and the patient did not suffer from it any more by changing the EPO. Two patients with high blood pressure recovered to normal by reducing the use of blood for rHuePO. One had allergic reaction for Iron Dextran Injection and was successfully treated by ICU. Six patients with severe reactive hypoglycemia were corrected quickly by intravenous injection of 50% glucose injection. One patient with adverse reaction to levocarnitine was cured by lowering the frequency of medication to one time per week. Two patients had flu-like symptoms after the use of biological agents were cured by stoppage of the medicine. Conclusion Adverse drug effect should be carefully observed, and patients' education and nursing skills of medical workers should be improved to ensure the medication safety of hemodialysis patients.

Citation： ZHUYing, ZHOULi, FUPing, CHENLin, DIAOYong-shu, FUChun-lian. The Nursing Experience of Medication for Hemodialysis Patients. West China Medical Journal, 2014, 29(9): 1716-1719. doi: 10.7507/1002-0179.20140523 Copy

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