İntradiyalitik Hipotansiyon ve Kanıta Dayalı Tedavi Bakım Uygulamaları
Özet
İntradiyalitik hipotansiyon, hemodiyaliz tedavisinde en sık görülen komplikasyonlardan biri olup kardiyovasküler morbidite ve mortaliteyle yakından ilişkilidir. Bölümde, intradiyalitik hipotansiyonun etiyolojisi; hacim değişiklikleri, yetersiz vazokonstriksiyon ve kardiyak faktörler çerçevesinde ele alınmıştır. Tanı kriterleri, klinik belirtiler, tedavi ve akut hemşirelik yaklaşımları tanımlanmış; soğuk diyalizat, sodyum ve ultrafiltrasyon profili, pnömatik kompresyon, midodrine ve sertralin kullanımı gibi kanıta dayalı önleme stratejileri sistematik biçimde değerlendirilmiştir. Bireyselleştirilmiş diyaliz reçetesi ve kanıta dayalı etkin hemşirelik bakımı, intradiyalitik hipotansiyonun önlenmesi ve hemodinamik stabilitenin sağlanmasında kritik bir rol oynamaktadır.
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