Problems arising in patient care and associated countermeasures from the perspective of nurses

Abstract

Many patients who are transported to emergency and critical care centers are in a serious condition ; thus, acute blood purification is a medical practice that is commonly followed in the field of critical care. Acute blood purification is indicated for various conditions, including acute renal insufficiency, acute heart failure, and septic shock. Therefore, nurses in the field of critical care are required to have knowledge regarding acute blood purification. During blood purification, changes in vital signs at the start of treatment and alarm responses while performing blood purification account for the majority of problems that nurses often experienced in clinical practice. Other problems include bleeding associated with vascular access catheters and pressure wounds caused by medical equipment. In the event of urgent problems or of those that nurses find difficult to manage alone, appropriately timed reporting to physicians and/or clinical engineers is required. Cooperation with physicians and clinical engineers is needed to implement acute blood purification that is safe for the patient and offers a high rate of treatment continuity.