Chinese Journal of Blood Purification

Chinese Journal of Blood Purification ›› 2023, Vol. 22 ›› Issue (05): 364-368,380.doi: 10.3969/j.issn.1671-4091.2023.05.010

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Expert consensus on the specialized nursing operation of hemoperfusion combined with hemodialysis

Blood Purification Committee of Chinese Nursing Association (This consensus was written by MA Zhi-fang, XIANG Jing, XIA Jing-hua, XIAO Guang-hui, FU Xia, SHEN Hua-juan, HE Shan, CHEN Jing, TONG Hui, GAO Ju-lin, YUE Xiao-hong, JIAO Jian-mei, ZHU Han-yu)   

  1. Blood Purification Center, Chinese PLA General Hospital, Beijing 100835, China; 2Blood Purification Center, Peking Union Medical College Hospital, Beijing 100730, China; 3Blood Purification Center, Beijing Haidian Hospital, Beijing 100080, China; 4Department of Nursing, The Eighth Affiliated Hospital of Sun Yat-sen University, Shenzhen 518000, China; 5Department of Nursing, Zhejiang Provincial People's Hospital, Hangzhou 310000, China; 6Blood Purification Center, Guizhou Provincial People's Hospital, Guiyang 550000, China; 7Blood Purification Center, The Second Affiliated Hospital of Navy Military Medical University, Shanghai 200003, China; 8Blood Purification Center, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China; 9Blood Purification Center, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710069, China; 10Blood Purification Center, The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China; 11Blood Purification Center, The Second Affiliated Hospital of Harbin Medical University, Harbin 150000, China
  • Received:2023-01-25 Revised:2023-02-15 Online:2023-05-12 Published:2023-05-12
  • Contact: 100835 北京，1中国人民解放军总医院血液净化中心 E-mail:kidney301@126.com

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Abstract: Combined hemoperfusion (HP) and hemodialysis (HD) (combined artificial kidney) is increasingly used for the treatment of end-stage renal disease (ESRD). Clinical nursing staff have an urgent need for the specialized nursing operation of combined artificial kidney. The expert group of the Blood Purification Professional Committee of the Chinese Nursing Association, referring to the domestic and foreign literature and combining the clinical application experience, has formulated the “Expert Consensus on Specialized Nursing Operation of Hemoperfusion Combined with Hemodialysis” that contains seven aspects: pipeline selection, heparinization of hemoperfusion, pre-flushing process, blood transfusion operation, blood return operation, observation and treatment, and pressure monitoring. This is the first expert consensus to guide the combined artificial kidney treatment and nursing operation in China, in order to provide a valuable reference for clinical nursing staff to implement the nursing operation of combined artificial kidney treatment.

Key words: Hemoperfusion, Hemodialysis, Combined artificial kidney, Nursing operation, Integrated pipeline

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