International Journal of Surgical Research

Objective: Hemodialysis (HD) is a process that uses a dialyzer to drain blood from the body to the outside. The dialyzer is composed of hollow fibers. The process of hemodialysis is to disperse, ultrafiltration, adsorption and convection the dialysate (and electrolytes with similar blood concentration to the body) through hollow fibers, forming a process of material exchange. Through hemodialysis, the metabolic wastes in the body can be removed, and the excess water in the body can be removed at the same time, which can maintain the balance of water electrolyte and acid base in the body. Plasma exchange (PE) refers to the separation of cells and plasma by centrifugation or membrane plasma separation, the elimination of toxic or pathogenic plasma, the introduction of it to cardiopulmonary bypass, and the transfusion of new plasma or plasma substitutes back to the body. Plasma exchange can purify large amounts of substances in the blood. Hemodialysis and plasma exchange are commonly used in clinical treatment of kidney diseases, blood diseases, metabolic diseases and immune system diseases. Hemodialysis combined with plasma exchange is an invasive treatment, with relatively complex operation process and many influencing factors. Therefore, adverse reactions often occur in plasma exchange. During the treatment period, predictive whole course nursing intervention can minimize the occurrence of adverse events such as anaphylaxis, vascular puncture leakage, lycium chloride poisoning, hypocalcemia, hyperkalemia, and take targeted nursing measures to ensure the smooth progress of plasma exchange, A nursing mode to improve the quality of nursing.

hemodialysis; Plasma exchange; Predictive nursing