Nursing Care Hemodialysis for Patients anemia at SakonNakhon Hospital : 2 Case Studies.

Abstract

     This study was case study aimed to study guidelines for caring for hemodialysis patients with anemia in Sakon Nakhon Hospital Case study of 2 patients. To reduce various complications effective medical treatment Therefore, it is necessary to have guidelines for patient care in order to keep patients safe and have a better quality of life., purposive selected in patients with chronic kidney disease with anemia who received hemodialysis who were treated with erythropoietin. and in cases where erythropoietin cannot be given Instead, a blood transfusion is required. who received treatment at the hemodialysis unit Sakon Nakhon Regional Hospital. By studying patient history medical treatment Gather information from patients, relatives, and medical records. Formulate nursing diagnosis using Orem's self-care concept. and use patient assessment forms according to Gordon's 11 health plans. Plan nursing action according to nursing diagnosis. Summarize and evaluate nursing results.
     Study results: Case study 1 Female patient, 80 years old, has had high blood pressure for more than 10 years. Chronic kidney failure for about 1 year, undergoing hemodialysis 2 times/week. at Sakon Nakhon Hospital Center. While undergoing hemodialysis with a hemodialysis machine, the Hct value was 22-24%. Received 1 unit of PRC according to the doctor's treatment plan each time he came for hemodialysis. Assessment and nursing care were performed without any complications. Case study 2: Male patient, 45 years old, suffering from bone marrow atrophy for approximately 10 years and chronic kidney failure for approximately 1 year. Received hemodialysis 2 times/week, Hct value 17-22%, received Erythropoietin 8,000 Unit and there were evaluations and nursing care without any complications.