La clasificación de la lesión renal aguda: una herramienta para las enfermeras de críticos

IF 1.1 Q3 NURSING Enfermeria Intensiva Pub Date : 2022-10-01 DOI:10.1016/j.enfi.2022.05.007
Y.G. Santana-Padilla RN, MSN, PhD , J.A. Fernández-Castillo RN, MSN , A. Mateos-Dávila RN, MSN, PhDc
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Abstract

In acute illnesses, patients may present associations between several pathologies. Kidney failure is one of the most common in critically ill patients.

Urea, creatinine and potassium blood levels, among others, are indicative of renal function and the health professionals need to be acted upon to maintain the patients’ internal functions without vital risk. Addressing these elements become a central element in the management and treatment of critically ill patients.

The assessment of this disorder in early stages is complicated. Therefore, continuous monitoring is a key element in the prevention of worsening due to various clinical situations such as, for example, renal dysfunction secondary to nephrotoxic drugs in frail patients. This clinical assessment, carried out correctly, enables health professionals to perform early intervention. This text will provide an approach to the classification of acute kidney injury as a tool to promote the prevention and to detect the incidence. For critical care staff, these concepts are essential to ensure high quality healthcare.

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急性肾损伤分类:危重护理的工具
在急性疾病中,患者可能表现出几种病理之间的关联。肾衰竭是危重病人最常见的疾病之一。尿素、肌酐和钾等血液水平是肾功能的指标,需要卫生专业人员采取行动,以维持患者的内部功能,而不会危及生命。解决这些问题成为危重病人管理和治疗的核心要素。在早期阶段对这种疾病的评估是复杂的。因此,持续监测是防止各种临床情况恶化的关键因素,例如,体弱患者肾毒性药物继发肾功能障碍。这种临床评估如果进行得正确,将使卫生专业人员能够进行早期干预。本文将提供一种方法来分类急性肾损伤作为一个工具,以促进预防和检测的发生率。对于重症护理人员来说,这些概念对于确保高质量的医疗保健至关重要。
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来源期刊
CiteScore
2.50
自引率
23.10%
发文量
48
期刊介绍: Enfermería Intensiva es el medio de comunicación por antonomasia para todos los profesionales de enfermería españoles que desarrollan su actividad profesional en las unidades de cuidados intensivos o en cualquier otro lugar donde se atiende al paciente crítico. Enfermería Intensiva publica cuatro números al año, cuyos temas son específicos para la enfermería de cuidados intensivos. Es la única publicación en español con carácter nacional y está indexada en prestigiosas bases de datos como International Nursing Index, MEDLINE, Índice de Enfermería, Cuiden, Índice Médico Español, Toxline, etc.
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