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相关概念视频

Factors Affecting Renal Clearance: Renal Impairment01:17

Factors Affecting Renal Clearance: Renal Impairment

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Renal dysfunction significantly impairs the renal clearance of drugs, leading to potential complications in drug therapy. Renal failure, which can be caused by various factors, poses a significant challenge in the elimination of drugs from the body.
One condition associated with renal failure is uremia. Uremia is characterized by impaired glomerular filtration and fluid accumulation in the body. This condition hinders the renal clearance of drugs, resulting in drug accumulation and potential...
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Documentation in Long-Term and Home Healthcare Setting01:29

Documentation in Long-Term and Home Healthcare Setting

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Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
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Renal Failure: Dose Adjustments01:11

Renal Failure: Dose Adjustments

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In patients with renal impairment, drugs undergo significant changes in their pharmacokinetics, which require dosage adjustments to ensure safe and effective therapy.
Reduced renal clearance and elimination rate are common outcomes of renal impairment. These alterations lead to a prolonged elimination half-life and an altered apparent volume of distribution for drugs. As a result, dosage adjustments are typically necessary to maintain optimal drug levels in the body.
However, dosage adjustments...
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Nursing Assessment

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The two sources for collecting information are primary and secondary. After gathering information, interpretation and validation help to complete the data. The purpose of assessment is to establish data with the initial information, to interpret data about the patient's perceived needs and health problems, and to respond to these problems identified.
The nurse collects all aspects of the patient's health in the initial assessment, establishing priorities for ongoing focused assessments...
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Assessment of the Cardiovascular System I: Subjective Data01:23

Assessment of the Cardiovascular System I: Subjective Data

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A thorough health history and physical assessment are essential for identifying cardiovascular disease (CVD) symptoms and distinguishing them from other health issues.
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
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Dialysis01:27

Dialysis

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Renal failure occurs when the kidneys lose their ability to filter waste products from the blood effectively. It can be classified into two types: acute renal failure (ARF) and chronic renal failure (CRF).
Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...
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相关实验视频

Updated: Jun 27, 2025

Assessment of Vascular Function in Patients With Chronic Kidney Disease
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在CKD护理中的老年评估:一项实施研究

Carlijn G N Voorend1, Noeleen C Berkhout-Byrne1, Leti van Bodegom-Vos2

  • 1Department of Internal Medicine (Nephrology), Leiden University Medical Center, Leiden, The Netherlands.

Kidney medicine
|April 25, 2024
PubMed
概括

老年人评估成功地被整合到慢性病 (CKD) 对老年人的护理中. 医疗保健专业人员发现,尽管有时间限制和患者负担等障碍,但评估仍然很重要.

关键词:
慢性脏疾病 慢性脏疾病可行性研究可行性研究.老年人的评估.实施科学 实施科学老年人年长的人.共享决策的共同决策.

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科学领域:

  • 老年医学 老年医学
  • 腎臟病學 (nephrology) 是一種醫學專業.
  • 实施科学 实施科学

背景情况:

  • 患有进展性慢性病 (CKD) 的老年人有复杂的需求.
  • 指导方针建议在决定脏置换之前进行老年评估,但很少实施.
  • 缺乏常规的老年医疗评估,阻碍了对老年CKD患者的最佳护理.

研究的目的:

  • 评估针对CKD护理量身定制的老年病评估的实施情况.
  • 评估老年人评估在常规科实践中的可行性和感知相关性.
  • 识别促进者和障碍者,将老年评估纳入CKD患者管理中的障碍.

主要方法:

  • 在荷兰的脏病中心进行了一项混合方法实施研究.
  • 基于共识的,针对脏学量身定制的老年病患评估,对70岁以上的患者实施,其eGFR ≤20 mL/min/1.73 m2.
  • 通过对感知到的推动者,障碍,工作常规整合和仪器相关性的调查来评估实施情况.

主要成果:

  • 在10个中心实施了老年医疗评估,达到191名患者.
  • 多学科合作和护士主导的评估促进了实施.
  • 障碍包括患者的文盲,语言障碍,时间限制和患者负担.
  • 专业人士对融入工作例程 (6.7/10) 和相关性 (7.8/10) 的评价都很好.
  • 临床脆弱性评分和蒙特利尔认知评估被认为是最相关的.

结论:

  • 老年人评估可以成功地整合到患有慢性病的老年人的护理中.
  • 实施的评估被医疗保健专业人士认为是相关的.
  • 解决已识别的障碍对于更广泛,更有效的实施至关重要.