血液透析患者贫血的管理课件.pptxVIP

血液透析患者贫血的管理汇报人：文小库2024-01-19

CONTENTS贫血概述与血液透析患者关系诊断方法与标准治疗策略与药物选择营养支持与饮食调整建议并发症预防与处理措施心理护理和康复指导建议

贫血概述与血液透析患者关系01

贫血是指单位容积血液中红细胞数、血红蛋白含量及红细胞比容低于正常值的病理状态。贫血定义根据病因和发病机制，贫血可分为红细胞生成减少性贫血、红细胞破坏过多性贫血和失血性贫血三类。贫血分类贫血定义及分类

EPO主要由肾脏分泌，肾功能衰竭时EPO分泌减少，导致红细胞生成减少。促红细胞生成素（EPO）缺乏铁是合成血红蛋白的重要原料，血液透析患者由于饮食限制、胃肠道吸收障碍等原因，容易出现铁缺乏。铁缺乏血液透析患者由于免疫力低下，易发生炎症和感染，导致红细胞破坏增多。炎症和感染如营养不良、甲状旁腺功能亢进等也可引起贫血。其他因素血液透析患者贫血原因

Thefollowingmanagementsystemsareattachedasgifts(canbedeletedifnotrequired)Emergencymedicineandequipmentmanagementsystem:1.Rescuedrugsandequipmentshouldbefivefixed(fixedquantityandvariety,designatedplacement,designatedpersonstorage,regulardisinfectionandsterilization,regularinspectionandmaintenance)andtwotimely(timelyinspectionandmaintenance,timelyreceiptandsupplementation).Theitemisclearlymarkedandcannotbeusedarbitrarily.2.Thenecessaryrescueequipmentiscomplete,ingoodperformance,andinstandbycondition.3.Therescuedrugsarecomplete,withcleardruglabelsandnodiscoloration,deterioration,expiration,ordamage.Theyshouldbeplacedandusedintheorderofdrugexpirationdates(fromrighttoleft).4.Emergencydrugsanditemsforeachdepartmentsrescuevehicleshallbeuniformlyequippedaccordingtorequirements.Specializedemergencydrugsanditemsmustbereviewedandapprovedbythedepartmentdirectortodeterminethetype,quantity,specifications,anddosagetobeequipped.Rescuevehiclesmustbeplacedindesignatedlocationsandmanagedbydesignatedpersonneltoensuresafetyandeaseofuse.5.Afterusingrescuedrugsandequipment,theyshouldbefullyreplenishedwithin24hours.Iftheycannotbereplenishedduetospecialreasons,theyshouldbenotedonthehandoverregistrationformandreportedtotheheadnurseforcoordinationandresolutiontoensuretimelyuseduringpatientrescue.6.Thereisaregistrationbookfortheprovisionofdrugsandequipment.Ensureconsistencybetween