血液透析之鐵劑輸注療法

Parenteral Iron Therapy in Hemodialysis

洪佳齊(Chia-Chi Hung) ； 詹雅婷(Ya-Ting Chan) ； 黃小倩(Hsiau-Chien Hwang) ； 吳明修(Ming-Shiou Wu)

《腎臟與透析》 27卷2期 (2015/06) Pp. 65-69

https://doi.org/10.6340/KD.2015.27(2).04

摘要

嚴重缺鐵性貧血會增加病人的住院率、心血管疾病、死亡率並影響生活品質，故鐵劑的補充對於血液透析病人十分重要！病人常因注射鐵劑而導致血壓降低、皮膚搔癢、蕁麻疹或引發腸胃副作用等非致命性不良反應，而拒絕接受鐵劑治療，引發探究透析病人缺鐵性貧血之原因、補充鐵劑類型、注意及劑量安全用法、用藥副作用、鐵劑治療時的護理與注意事項以及鐵劑給藥技術等知能，期望對醫護人員在日後臨床工作中有所裨益。

關鍵字

貧血 ； 血液透析 ； 鐵劑補充

並列摘要

Severe iron deficiency anemia (IDA) will increase patient's hospitalization rate, cardiovascular disease, mortality rate and influence the life quality. Thus, iron supplement is crucial for patients receiving hemodialysis. However, the non-fatal adverse events caused by iron injection such as hypotension, skin itching, urticaria and gastrointestinal upset often result in patients' refusal of iron supplement. This article aimed at the causes of IDA in patients on hemodialysis, the indications of iron supplement, the choices of parental iron preparations, dosing, precautions and adverse effects. Moreover, the administration technique and nursing information were reviewed in this article, and we hope these provide helpful information for physicians and nursing staffs in clinical practice.

並列關鍵字

anemia ； hemodialysis ； iron supplement