diplomsko delo
Lea Dacar (Avtor), Suzana Mlinar (Recenzent), Martina Bizjak (Mentor), Ljiljana Pejanović (Komentor)

Povzetek

Uvod: Kronična ledvična odpoved je neozdravljiva bolezen, ki jo pri otrocih s primernim žilnim pristopom zdravimo s hemodializo in peritonealno dializo. Če je le možno opravimo presaditev ledvic. Namen: Predstavljamo načine zdravljenja kronične ledvične bolezni ter vrste in nego žilnih pristopov. Metode dela: Uporabili smo deskriptivno metodo dela s sistematičnim pregledom strokovne in znanstvene literature v slovenskem in angleškem jeziku, in sicer v časovnem obdobju od leta 2005 do 2022. Literaturo smo iskali v slovenskem jeziku s ključnimi besedami: otrok, kronična odpoved ledvic, arterio-venska fistula, osrednji venski kateter, dializni kateter, in v angleškem jeziku z besednimi zvezami: kidney failure AND children, vascular approach AND kidney failure, nursing care AND dialysis vascular approach v naslednjih podatkovnih bazah: Medline (PubMed), CINAHL, The Cochrane Collaboration, in po bibliografsko-kataložni bazi podatkov slovenskih knjižnic (COBIB.SI) preko oddaljenega dostopa Zdravstvene fakultete v Ljubljani. V analizo smo vključili 57 člankov. Rezultati: Poznamo tri vrste žilnih pristopov, in sicer: osrednji venski kateter, arterio-vensko fistulo in arterio-venski graft. Otroci z diagnozo kronične ledvične odpovedi so takoj uvrščeni na čakalni seznam za transplantacijo, a dokler ne pridejo na vrsto, se morajo dializirati. Če so dialize kratkotrajne (začasne), je pri njih prva izbira žilnega pristopa osrednji venski kateter, če pa postanejo dolgotrajne, je nujno potrebno konstruirati arterio-vensko fistulo. Arterio-venski graft se vzpostavi le, kadar ima otrok slabo ožilje. Vloga medicinske sestre je pri vseh žilnih pristopih zelo pomembna, saj mora biti pri postopkih prisotna in ob tem pozorna, da ne pride do kakršnihkoli zapletov. Razprava in zaključek: S pregledom strokovne literature smo ugotovili, da obstajajo trije načini žilnih pristopov, s pomočjo katerih izpeljemo hemodializo. Medicinska sestra ima pri tem pomembno vlogo, saj mora na otroke, pri katerih je najpogosteje uporabljen pristop z dializnim katetrom, pozorno paziti, da ne pride do kakršnekoli okužbe. Pri arterio-venski fistuli mora obvladati pravilno tehniko zbadanja in punktiranja, da se omenjeni žilni pristop ohrani čim dlje. Arterio-venski graft pride pri otrocih v poštev, kadar imajo le-ti slabo ožilje.

Ključne besede

diplomska dela;zdravstvena nega;otroci;kronična odpoved ledvic;arterio-venska fistula;osrednji centralni venski kateter;dializni kateter;

Podatki

Jezik: Slovenski jezik
Leto izida:
Tipologija: 2.11 - Diplomsko delo
Organizacija: UL ZF - Zdravstvena fakulteta
Založnik: [L. Dacar]
UDK: 616-083
COBISS: 109571843 Povezava se bo odprla v novem oknu
Št. ogledov: 91
Št. prenosov: 22
Ocena: 0 (0 glasov)
Metapodatki: JSON JSON-RDF JSON-LD TURTLE N-TRIPLES XML RDFA MICRODATA DC-XML DC-RDF RDF

Ostali podatki

Sekundarni jezik: Angleški jezik
Sekundarni naslov: Vascular approach in children with chronic kidney failure
Sekundarni povzetek: Introduction: Chronic renal failure is an incurable disease we treat with hemodialysis and peritoneal dialysis in children with an appropriate vascular approach. If possible, kidney transplant is performed. Purpose: We present ways of treating chronic kidney disease and the types and care of vascular approaches. Methods: We used a descriptive method of working with a systematic review of professional and scientific literature in Slovene and English, in the period from 2005 to 2022. Literature was sought in Slovenian with keywords: child, chronic renal failure, arteriovenous fistula, central venous catheter, dialysis catheter and in English with phrases: kidney failure AND children, vascular approach AND kidney failure, nursing care AND dialysis vascular approach in the following databases: Medline (PubMed), CINAHL, The Cochrane Collaboration, and according to the bibliographical-catalogue database of Slovenian libraries (COBIB.SI) via remote access of the Faculty of Health Sciences in Ljubljana. We included 57 articles in the analysis. Results: There are three types of vascular approaches: central venous catheter, arterio-venous fistula, and arterio-venous graft. Children diagnosed with chronic renal failure are immediately placed on a transplant waiting list, but must be dialyzed until it is their turn. If dialysis is short-term (temporary), the central venous catheter is the first choice of vascular approach, but if it becomes long-term, it is necessary to construct an arterio-venous fistula. An arterio-venous graft is established only when a child has poor blood vessels. The role of the nurse is very important in all vascular approaches, as she must be present during the procedures and at the same time be careful not to cause any complications. Discussion and conclusion: A review of professional literature revealed there are three ways of vascular approaches to perform hemodialysis. Nurse plays an important role in this, as she must pay close attention to children who are most frequently treated with the dialysis catheter approach to avoid any infection. In case of arteriovenous fistula, she must master correct technique of puncture and puncturing in order to maintain mentioned vascular approach for as long as possible. Arterio-venous graft comes into play in children with poor blood vessels.
Sekundarne ključne besede: diploma theses;nursing care;children;chronic renal failure;arteriovenous fistula;central venous catheter;dialysis catheter;
Vrsta dela (COBISS): Diplomsko delo/naloga
Študijski program: 0
Konec prepovedi (OpenAIRE): 1970-01-01
Komentar na gradivo: Univ. v Ljubljani, Zdravstvena fak., Oddelek za zdravstveno nego
Strani: 31 str.
ID: 15446474