eISSN 2097-6046
ISSN 2096-7446
CN 10-1655/R
Responsible Institution:China Association for Science and Technology
Sponsor:Chinese Nursing Association
Clinical Practice

Nursing care of a patient treated by extracorporeal membrane oxygenation combined with continuous renal replacement therapy

  • JIA Xueping ,
  • ZENG Lei ,
  • YANG Hongxiao ,
  • LI Guifang
Expand

Received date: 2021-07-06

  Online published: 2022-01-17

Abstract

To summarize the nursing experience of a patient with multiple injury complicated with multiple organ dysfunction syndrome who underwent extracorporeal membrane oxygenation combined with continuous renal replacement therapy. Conventional nursing measures were adjusted for safety problems such as pipeline fixation of extracorporeal membrane lung oxygenation,coagulation monitoring,hemodynamic disorders. Thoracic closed drainage combined with mechanical ventilation nursing and pressure injury prevention were given. According to patients' consciousness and ICU activity score,early graded rehabilitation activity program led by nurses was given,among which physical function exercise,combination of active and passive activities,and activity safety were the difficulties and key points of nursing. After 26 days of treatment and nursing,the patient's condition was improved and he was discharged. He was in good condition after 2 months of follow-up.

Cite this article

JIA Xueping , ZENG Lei , YANG Hongxiao , LI Guifang . Nursing care of a patient treated by extracorporeal membrane oxygenation combined with continuous renal replacement therapy[J]. Chinese Journal of Emergency and Critical Care Nursing, 2022 , 3(1) : 89 -91 . DOI: 10.3761/j.issn.2096-7446.2022.01.017

References

[1] 张凡,张静萍. ICU多发伤患者护理监测评估量表的构建及信效度检验[J]. 中华现代护理杂志,2020,26(16):2157-2162.
Zhang F,Zhang JP.Construction of ICU nursing monitoring and evaluation scale for patients with multiple trauma and its reliability and validity test[J]. Chin J Mod Nurs,2020,26(16):2157-2162.
[2] 陈丽花,谢派玲,曾丽婷,等. 体外膜肺氧合联合连续性肾脏替代治疗的连接方式及护理[J]. 护理研究,2020,34(18):3355-3358.
Chen LH,Xie PL,Zeng LT,et al.Connection methods and nursing care of extracorporeal membrane oxygenation combined with continuous renal replacement therapy[J]. Chin Nurs Res,2020,34(18):3355-3358.
[3] 石秀茹,郭远,郑凯兰,等. 1例危重型新型冠状病毒肺炎患者并发消化道出血应用体外膜肺氧合治疗的护理[J]. 中华护理杂志,2020,55(S1):675-677.
Shi XR,Guo Y,Zheng KL,et al.Nursing of a critical COVID-19 patient complicated with gastrointestinal bleeding treated with extracorporeal membrane oxygenation[J]. Chin J Nurs,2020,55(S1):675-677.
[4] 李云. V-A ECMO联合CRRT治疗急性爆发性心肌炎合并多脏器功能衰竭患者的护理[J]. 齐鲁护理杂志,2020,26(7):118-120.
Li Y.Nursing care of patients with acute explosive myocarditis complicated with multiple organ failure treated by V-A ECMO combined with CRRT[J]. J Qilu Nurs,2020,26(7):118-120.
[5] 左文青,张卫,林芳,等. 体外膜肺氧合联合连续性肾脏替代治疗患者局部行枸橼酸抗凝的护理[J]. 中华急危重症护理杂志,2020,1(3):238-240.
Zuo WQ,Zhang W,Lin F,et al.The nursing care of regional citrate anticoagulation in patients treated with extracorporeal membrane oxygenation combined with continuous renal replacement therapy[J]. Chin J Emerg Crit Care Nurs,2020,1(3):238-240.
[6] 胡燕. 目标导向早期康复对机械通气患者ICU获得性衰弱影响的研究[D]. 南昌:南昌大学,2020.
Hu Y.Effect of early goal directed mobilization on ICU acquired weakness in ICU patients with mechanical ventilation[D]. Nanchang:Nanchang University,2020.
[7] 张川林,张泽菊,米洁,等. ICU活动量表的汉化及信效度研究[J]. 护理学杂志,2019,34(10):46-48.
Zhang CL,Zhang ZJ,Mi J,et al.Translation of the ICU mobility scale into Chinese and validation[J]. J Nurs Sci,2019,34(10):46-48.
[8] 徐小兰,鲁亚平. 护理学基础[M]. 3版. 北京:高等教育出版社,2015.
Xu XL,Lu YP.Fundamental nursing[M]. 3rd ed. Beijing:Higher Education Press,2015.
[9] 王钰炜,周帅帅,林高兴,等. 创伤性心搏骤停患者应用体外膜肺氧合治疗的急救护理[J]. 中华急危重症护理杂志,2021,2(1):87-90.
Wang YW,Zhou SS,Lin GX,et al.Emergency care of a patient with traumatic cardiac arrest by extracorporeal membrane oxygenation[J]. Chin J Emerg Crit Care Nurs,2021,2(1):87-90.
Outlines

/