ACUTE RENAL FAILURE AND NURSING CARE IN GERIATRIC PATIENTS IN THE INTENSIVE CARE UNIT AFTER HIP ARTHROPLASTY

Öz

Aging is a complex and multifactorial process involving all organ systems. Decreased physiologic reserve, the presence of comorbidities and stressors related to surgery may lead to deterioration of the patient's general health status. In elderly patients, it is important to determine optimal perioperative treatments to minimize the adverse effects and complications related to the surgical procedure and to maximize recovery. For these reasons, it may be appropriate to follow the patient in the intensive care unit after the surgical procedure. With the increasing incidence of hip fractures in the elderly, the number of complications related to hip surgery is also increasing. One of these complications is Acute renal failure (ARF), which causes significant morbidity and mortality and patients need to be followed up in the intensive care unit. The fact that most of the patients are in the frail and pre-frailty patient group contributes to this situation. Therefore, the nurse's follow-up, treatment and care process is very important. With the right treatment and multidisciplinary approach to the patient, patients receive the best health care. The aim of this review is to provide appropriate nursing care in the case of ARF in the ICU after hip replacement surgery in geriatric patients.

Anahtar Kelimeler

• Renal failure
• geriatric nursing
• hip arthroplasty
• intensive care nursing.

Geriatrik Hastalarda Kalça Protezi Ameliyatı Sonrası Yoğun Bakım Ünitesinde Gelişen Akut Böbrek Yetmezliği ve Hemşirelik Bakımı

Öz

ÖZET Yaşlanma, tüm organ sistemlerini kapsayan kompleks ve çok faktörlü bir süreçtir. Fizyolojik rezervin azalması, ek hastalıkların varlığı ve ameliyata bağlı stresörler hastanın genel sağlık durumunun bozulmasına neden olabilir. Yaşlı hastalarda cerrahi işleme bağlı olumsuz etkileri ve komplikasyonları en aza indirmek, iyileşmeyi en üst düzeye çıkarmak için optimal perioperatif tedavileri belirlemek önemlidir. Bu nedenlerden dolayı hastanın cerrahi işlem sonrası yoğun bakım ünitesinde (YBÜ) takip edilmesi uygun olabilir. Yaşlılıkta kalça kırıklarının çok görülmesi ve insidansının artması ile birlikte kalça cerrahisine bağlı görülen komplikasyonların sayısı da artmaktadır. Bu komplikasyonlardan birisi Akut böbrek yetmezliği (ABY) olup önemli ölçüde morbidite ve mortaliteye sebep olduğundan hastaların YBÜ’ de izlenmeye gereksinimi vardır. Hastaların çoğunun kırılgan ve kırılganlık öncesi hasta grubunda olması bu duruma katkı sağlamaktadır. Bu nedenle hemşirenin takip, tedavi ve bakım süreci oldukça önemlidir. Hastaya uygulanacak doğru tedavi ve multidisipliner yaklaşımla hastalar en iyi sağlık hizmetini almış olur. Bu derlemenin amacı, geriatrik hastalarda kalça protezi ameliyatı sonrası YBÜ’de ABY gelişmesi durumunda uygun hemşirelik bakımını sunmaktır.

Anahtar Kelimeler

• böbrek yetmezliği
• geriatri hemşireliği
• kalça artroplastisi
• yoğun bakım hemşireliği

Kaynakça

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