论文部分内容阅读
目的探讨高血糖危象合并高钾血症患者的急救及护理措施。方法选择38例高血糖危象合并高钾血症患者进行回顾性分析,总结其急救及有效护理措施。结果38例患者中37例于36h内恢复至病情稳定,1例因入院时合并糖尿病足、感染、心衰,已处于浅昏迷状态,于入院48h内死亡。结论高血糖危象合并高钾血症患者应及时补液、补充胰岛素,监测血糖、电解质及CO_2CP、尿常规,纠正酸碱及电解质失衡,严密观察病情变化和采取全程规范化干预护理是治疗成功的关键。
Objective To investigate the first aid and nursing measures of patients with hyperglycemic crisis complicated with hyperkalemia. Methods 38 cases of hyperglycemia crisis with hyperkalemia were retrospectively analyzed and the first aid and effective nursing measures were summarized. Results Thirty-seven of the 38 patients returned to stable condition within 36 hours. One patient died of ventricular contractions within 48 hours after hospital admission with diabetic foot, infection and heart failure. Conclusions Patients with hyperglycemic crisis complicated with hyperkalemia should be promptly rehydrated, insulin supplements, blood glucose, electrolytes and CO_2CP, urinary routine, correct acid-base and electrolyte imbalance, close observation of changes in condition and standardized nursing intervention is the key to the success of treatment .