Nursing Experience of No Anticoagulant Continuous Renal Replacement Therapy in Patients at High Risk of Bleeding Timely A-gain Heparin Flushing
ZHENG Xiang-ling
Abstract：Objective To discuss nursing effect of timely irrigation heparin in patients at high risk of bleeding again without anticoagu -lantcontinuousrenalreplacementtherapy.Methods 96patientsathighriskofbleedingtimelyagainheparinflushingundernoanticoagu-lant continuous renal replacement therapy from March , 2013 to March, 2015 were randomly divided into observation group and control group, with 48 cases in each group.Patients of two groups received heparin flushing pipeline and filter.In the observation group , in the process of treatment , when patients were prone to clotting , heparin was used to make immediately rinse again.Systemic active bleeding con-dition, single line and the filter using time , the value of platelet and coagulation of the two groups were compared.Results Before and af-ter treatment, platelet value and coagulation had no significant change (P>0.05);in the observation group, filter and pipeline single using time were significantly higher than those in control group ( P<0.05 );in the observation group , bleeding rate was significantly lower than the control group ( P<0.05 ).Conclusion Patients at high risk of bleeding under no anticoagulant continuous renal replacement therapy should get duly heparin flushing again.In this way , it can prolong the life time of the pipeline and filter , and reduce the active bleeding of patients.
Keywords：Bleeding at high riskHeparin flushingContinuous renal replacementNursing
Publication Date：2015-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 1171-1172,1173 )