多学科专家小组关于流体管理的报告:观点和实践
Manu L N G Malbrain1,2,3,4, Pietro Caironi5,6, Robert G Hahn7
1First Department Anaesthesiology and Intensive Therapy, Medical University Lublin, Lublin, Poland. manu.malbrain@telenet.be.
Annals of intensive care
|September 25, 2023
概括
在医院实施一致的流体管理政策对于高质量的患者护理至关重要. 这包括员工教育,标准化的静脉注射液体治疗,以及跟踪成功以改善结果.
科学领域:
- 医疗保健管理的管理
- 患者安全 患者安全
- 临床实践指南 临床实践指南
背景情况:
- 有效的流体管理对于高质量的医院护理至关重要,但面临着缓慢和不一致的管理政策的采用.
- 存在基于证据的流体管理指南,但临床意见各不相同,实施仍然不理想.
- 流体管理实践中的差异可能会影响患者的治疗结果和医疗保健效率.
研究的目的:
- 审查加强员工在静脉注射液体治疗方面的教育和培训的战略.
- 讨论追踪机构流体管理倡议成功的方法.
- 通过持续的液体管理和监测,提供改善患者结果的建议.
主要方法:
- 召集一个多学科专家小组,讨论最佳实践.
- 审查沟通流体管理的重要性的策略.
- 总结机构流体管理方面的建议.
主要成果:
- 建议在医院中识别"流体线路",以进行一致的管理和监测.
- 有效的沟通和机构支持是成功流体管理的关键.
- 需要包括教育和技术在内的多方面的方法.
结论:
- 持续的流体管理对于改善患者的治疗结果和医院护理质量至关重要.
- 标准化政策,持续教育和专注的领导力对于成功实施至关重要.
- 需要进一步努力,以弥合指南与临床实践之间的差距.
相关概念视频
Body Water Content and Fluid Compartments
772
Life's biochemical processes occur within aqueous solutions. Solutes are substances that are dissolved within these solutions. The human body contains a variety of solutes, which can differ across various body parts. These can encompass proteins—such as those responsible for clotting and carbohydrate transport—as well as electrolytes. In medicine, an electrolyte is often described as a mineral ion derived from a salt possessing an electric charge. Examples include sodium ions...
772
Heart Failure VII: Nursing Interventions
89
The first step in nursing management of a patient with heart failure involves thoroughly assessing the patient's medical history.Subjective Data: Obtain the patient's medical history of coronary artery disease, hypertension, myocardial infarction, and symptoms like dyspnea, orthopnea, and paroxysmal nocturnal dyspnea.Objective Data: Conduct a physical examination to identify findings such as jugular vein distention, pulmonary crackles, tachycardia, murmurs, peripheral edema, and vital signs,...
89
Chronic Kidney Disease IV: Nursing Management
11
Nursing management is essential for preventing complications, maintaining stability, and improving patients' quality of life in chronic kidney disease (CKD). By using a structured approach, nurses help slow CKD progression and support effective patient care.1. Comprehensive patient assessmentEffective management begins with nurses reviewing the patient’s medical history, and identifying key risk factors like diabetes, hypertension, and nephrotoxic drug use. Nurses assess signs of...
11
Acute Kidney Injury VI: Nursing Management
19
Acute Kidney Injury (AKI) results in an inability to maintain fluid, electrolyte, and acid-base balance. Effective nursing management is critical in improving patient outcomes and includes comprehensive patient assessment and targeted interventions.Comprehensive Patient AssessmentA detailed history collection is essential, focusing on any recent infections, nephrotoxic medication use, or chronic conditions such as hypertension and diabetes that may contribute to AKI. During the physical...
19
Peripheral Artery Disease III: Interprofessional Care
11
Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
11
Composition of Body Fluids
467
Water functions as a solvent accommodating various solutes, which can be categorized under electrolytes and non-electrolytes. Non-electrolytes are usually held together by covalent bonds, restricting them from dissociating in solution, thereby leading to a lack of electrically charged components upon dissolving in water. They are predominantly organic molecules, such as glucose, creatinine, and urea. Electrolytes, on the other hand, are compounds that can break down into ions in water.
467


