On that day, Mr. Chen, 65 years old, went to the hospital due to physical discomfort. Upon further investigation, it was found that Mr. Chen had been suffering from kidney disease, hypertension, and diabetes for many years, and had progressed to the stage of uremia, requiring regular dialysis treatment.
But before this visit, he had not undergone dialysis for 4 consecutive days, and his physical condition was in a high-risk state. When Mr. Chen arrived at the outpatient hall that day, he suddenly broke out in a cold sweat, opened his mouth to breathe, and was unable to stand due to shortness of breath. The situation was very critical.
The outpatient nurse on duty immediately received the patient in a wheelchair and promptly reported to Director Chen Wen, who was visiting from the nephrology department. Director Chen Wen immediately conducted an inquiry and physical examination and quickly and accurately diagnosed the patient with acute left heart failure due to uremia. According to data, acute left heart failure is a common complication in patients with uremia, and if not detected and treated in a timely manner, it can be extremely fatal.
With his rich experience, Director Chen Wen immediately gave the order to rescue the patient in a wheelchair and notified Li Yan, the head nurse of the nephrology department, and Luo Xiaoyu, the supervising nurse, to quickly rush over and work together with the outpatient nurses to rescue the patient. Luo Xiaoyu, the supervising nurse of the nephrology department, quickly measured the patients vital signs and established a venous access. The entire team cooperated seamlessly.
The medical staff worked together efficiently to quickly alleviate the patients condition through emergency treatment measures such as cardiotonic, vasodilator, and antiasthmatic drugs. Within just 10 minutes, Mr. Chens vital signs such as heart rate and blood oxygen gradually stabilized.
Subsequently, the medical staff escorted the patient to the hemodialysis room for emergency treatment. Currently, the patients condition has stabilized.
"Regular dialysis is crucial for patients with uremia. Once interrupted, it is extremely easy to cause serious complications such as heart failure and hyperkalemia, which may even endanger life." Director Chen Wen reminds that patients with uremia undergoing dialysis need to strictly follow the doctors advice and undergo regular dialysis treatment, and must not interrupt it arbitrarily. At the same time, patients with kidney disease who also suffer from hypertension and diabetes should strictly control their blood pressure and blood sugar levels on a daily basis, develop the habit of eating a low-salt and low-fat diet, and maintaining a regular sleep schedule, and avoid excessive fatigue and emotional fluctuations. If patients experience discomfort such as breathing difficulties, chest tightness, and worsening edema, they should immediately go to the hospital for treatment to avoid delaying the condition.
Expert Introduction
Chen Wen, Chief Physician
Director of Nephrology Department
Professor, Masters supervisor
Leading Talents in Hainan Province
Outstanding experts with exceptional contributions in Hainan Province
Medical expertise
Specializes in primary glomerular disease, IGA nephropathy, lupus nephritis, hypertensive nephropathy, uric acid nephropathy, and diabetic nephropathy; especially in the diagnosis and treatment of critical and difficult diseases in nephrology, as well as clinical pathological diagnosis; proficient in the diagnosis and treatment of indications and complications of hemodialysis and peritoneal dialysis; proficient in the establishment of temporary and long-term vascular dialysis access and peritoneal dialysis access, as well as the management of complications.
Manuscript | Huang Fei