术后肺移植接受者的营养管理
Bridget Doyle1, Bhanupriya Sirandas2
1Department of Clinical Nutrition, Loyola University Medical Center, Maywood, Illinois, USA.
概括
优化肺移植接受者的营养是非常重要的,因为高营养不良率和独特的胃肠道问题. 本综述概述了营养学家管理移植后营养支持挑战的最佳实践.
科学领域:
- 医学 医学 医学 医学 医学
- 外科手术 手术手术
- 营养科学 营养科学
背景情况:
- 肺移植后的护理由于患者的异质性和手术复杂性而存在独特的挑战.
- 营养不良影响多达55%的肺移植接受者,经常在术后恶化.
- 胃肠道并发症,如胃和食道功能障碍是常见的,阻碍营养支持.
研究的目的:
- 审查住院肺移植患者营养管理的最佳实践.
- 识别和解决在提供营养支持方面的共同挑战.
- 优化营养状况,改善肺移植患者的治疗结果.
主要方法:
- 文献综述专注于肺移植中的营养支持.
- 对影响营养摄入的常见术后并发症的分析.
- 对临床营养学家的最佳实践建议的综合.
主要成果:
- 肺移植接受者面临重要的营养风险,包括营养不良和特定的胃肠道问题.
- 营养支持经常因血液动力学不稳定性和胃肠道功能障碍而复杂化.
- 量身定制的营养护理计划对于管理这些复杂性至关重要.
结论:
- 有效的营养管理需要认识到并主动解决接受者的异质性和术后并发症.
- 营养学家在修改营养护理计划方面发挥着至关重要的作用,以克服营养不足的障碍.
- 优化营养状况是改善肺移植后恢复和结果的关键.
相关概念视频
Pneumonia V: Nursing management and Prevention
1.9K
Nursing management of pneumonia involves promoting airway patency, facilitating rest and conserving energy, encouraging fluid intake, maintaining nutrition, and educating patients.
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
1.9K
Endotracheal Intubation II: Nursing Management
525
Endotracheal intubation is a critical procedure that can be lifesaving for many patients with respiratory distress or failure. The role of nursing in managing endotracheal tubes is pivotal, as it involves pre-intubation preparation, assisting during the procedure, and post-extubation care.
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
525
Acute Respiratory Failure-V
124
The treatment for acute respiratory failure varies based on factors like the underlying cause, overall health, and severity. A collaborative healthcare team is essential for early detection, often through arterial blood gas analysis. Identifying the cause is the primary goal, with treatment strategies adjusted for ventilation/perfusion (V/Q) mismatch, shunting, or diffusion impairment.
Ensure that patients are monitored continuously for their response to therapy, including changes in...
Ensure that patients are monitored continuously for their response to therapy, including changes in...
124
Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding
85
Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
85
Radiological Investigation III: Pulmonary Angiogram and PET Scan
88
Radiological investigations are paramount in the diagnosis and management of various pulmonary diseases. Two essential investigations are the Pulmonary Angiogram and the Positron Emission Tomography (PET) Scan.
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...
88
Chronic Obstructive Pulmonary Disease-V: Nursing Management
3.7K
Nursing management of Chronic Obstructive Pulmonary Disease (COPD) is crucial for providing thorough care and support to patients. Nurses play an integral role in this process through detailed assessment, careful planning, targeted interventions, and ongoing evaluation. Here's an overview of the critical steps in nursing management for COPD.
Assessment
Assessment
3.7K


