Kontrast Madde Nefropatisi ve Hemşirelik Girişimleri

Abstract

Günümüzde tanı ve tedavi amaçlı, kontrast madde kullanılarak yapılan görüntüleme yöntemleri yaygın olarak kullanılmaktadır. Kontrast maddelerin kullanımı, akut böbrek hasarı (ABH) riskini beraberinde getirmektedir. Kontrast maddeye bağlı gelişen ABH, hastanede kalış süresinin uzamasına, mortalite, morbidite ve giderlerin artmasına neden olur. Kontrast madde nefropatisinde (KMN) hastaya bağlı riskler ve çeşitli korunma yöntemleri bulunmaktadır. Kontrast madde nefropatisini önlemede, en temel yaklaşım risklerin azaltılması ve hidrasyonun sağlanmasıdır. Riskli bireylerin hemşire tarafından izlenmesi, hemşirelerin önleme yöntemleri, tedavi ve sonuçlarını bilmesi KMN gelişim ve görülme sıklığını azaltacaktır. Bu derleme ile KMN’deki güncel uygulamalar, risk faktörleri, patofizyolojisi, hemşirelik tanı, uygulama ve eğitimleri sunulacaktır.  

Keywords

• Kontrast madde nefropatisi,Akut böbrek hasarı,Hemşirelik,Hemşirelik bakımı

Contrast-Induced Nephropathy and Nursing Interventions

Abstract

Nowadays radiographic imaging scans using contrast media for diagnosis and treatment are widely used. The use of contrast agents is associated with an acute renal failure risk. Acute kidney injury due to contrast agent can lead to prolongation of hospital stay, mortality, morbidity and costs. Contrast-induced nephropathy (CIN) has patient-related risks and various prevention methods. The basic approach for prevention CIN is to reduce risks and provide hydration. The nurses will reduce the incidence and development of CIN following-up of the risky individuals, having knowledge about the prevention methods, treatment and consequences. This review will present the current practices, risk factors, pathophysiology, nursing diagnosis, practice and training in CIN.

Keywords

• Radiocontrast-induced nephropathy,Acute kidney injury,Nursing,Nursing care

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