Üremik Ensefalopati ve Kanıta Dayalı Tedavi Bakım Uygulamaları

Özet

Üremik ensefalopati, böbrek yetmezliğinin neden olduğu acil müdahale gerektiren bir durumdur. Tedavinin amacı, böbrek fonksiyonlarını desteklemek ve toksinlerin vücuttan atılmasını sağlamaktır. Hastanın durumuna göre fosfat bağlayıcı ajanlar, kalsiyum yerine koyma tedavisi uygulanır. Hemodiyaliz veya periton diyalizi gibi böbrek fonksiyonlarını yerine getirecek tedaviler kullanılır. Hastanın sıvı elektrolit dengesini düzenlemek için ilaçlara ve diyete özen gösterilmelidir. Semptomlara yönelik tedaviler arasında nöbet kontrolü için antikonvülsanlar, bilinç bozukluğunu gidermek için sedatifler ve beyin ödemi için diüretikler bulunur. Hastalığın ilerlemesini önlemek için düzenli doktor kontrolü, ilaç tedavisi, uygun beslenme önemlidir. Hasta bakımında hemşireler güvenli bir çevre sağlamalı, sıvı alımını izlemeli ve hastaların beslenme gereksinimlerini karşılamalıdır.

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