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摘要


高血鉀是常見的臨床問題之一,當嚴重高血鉀產生時可能會造成肌肉無力、心律不整等問題,進而增加病患的死亡風險。故本文依據文獻查證結果,介紹高血鉀的定義、生理調節機轉、診斷與檢查、臨床表徵、嚴重度分級、治療及監測事項,並提出高血鉀病人的衛生教育,期望能增加臨床護理人員在照護高血鉀病人的知能,提供更適切的實證基礎照護。

關鍵字

高血鉀 護理 管理

並列摘要


Hyperkalemia is one of the most common clinical problems. When severe hyperkalemia occurs, it may cause muscle weakness, arrhythmia and other problems that increase the risk of death. We introduce the definition of hyperkalemia, a physiological regulation mechanism, diagnosis and examination, clinical manifestations, classifications of severity, treatment and monitoring, and propose health education for patients with hyperkalemia. Improving nurses' competency of caring for hyperkalemia patients and providing feasible evidence-based practice are expected.

並列關鍵字

hyperkalemia nursing management

參考文獻


吳紅蓮(2016)・血液透析病人控制血鉀的重要性-飲食策略・腎臟與透析,28(4),155-159。https:doi.org/10.6224/JN.202002_67(1).05. 10.6340/KD.2016.28(4).01.
林育珊、陳國蘭、尤宜菁、林嘉鈴(2016)・運用行為修正策略降低血液透析病人高血鉀發生率之改善專案・臺灣腎臟護理學會雜誌,15(2),21-38。https://dou.org/10.3966/172674042016061502003.
楊喻捷、郭嘉文、廖昱凱、張立建、吳家兆(2017)·高血鉀的診斷與治療·腎臟與透析,29(1),12-16。https://doi.org/10.6340/KD.2017.29(1).03.
Bertrand, B., Livingston-Bowen, C., Duffrin, C., & Mann, A. (2014). ACE inhibitors and potassium foods--nurses' knowledge. International Journal of Health Care Quality Assurance, 27(1), 54–64. https://doi.org/10.1108/IJHCQA-06-2012-0057.
Chua, C. E., Choi, E., &Khoo, E. Y. H. (2018). ECG changes of severe hypokalemia. QJM: An International Journal of Medicine , 111(8), 581-582. https://doi.org/10.1093/qjmed/hcy046.

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