4 research outputs found
Nutritional status of hemodialysis patients
Hemodialysis patients are vulnerable population group and they, among other, should take special care on food and fluid intake with emphasis on energy, potassium, phosphorus, sodium and protein intake. The nutritional status of patients (n=14) was assessed through measurement of body weight, body height, upper arm circumference, lower leg circumference and handgrip dynamometry; as well as selected biochemical parameters: urate concentration, calcium and phosphate levels, total protein, creatinine, albumin and globulin ratio and C-reactive protein; and dietary assessment method: 3-day food record (3DD). Using range between 18.5 and 24.9 kg/m2 as cut-off, 35.7 and 57% of patients were classified as adequately nourished and overweight, respectively. According to results of 3DD, most of the subjects are supposed to align their micro- and macro- nutrients intake with the recommendations, with emphasis on the increasing intake of protein and energy as well as on decreasing intake of potassium, phosphorus, sodium and energy
Perioperativna zdravstvena njega kod bolesnika s cistektomijom
Cistektomija je pojam koji oznaÄava potpuno uklanjanje mokraÄnog mjehura. Cistektomija je radikalan zahvat, te se on vrÅ”i samo kada se druge metode lijeÄenja pokažu neefikasne. Stupanj radikalnosti cistektomije ovisi o stupanju metastaze karcinoma, pozicije, te stupnju prodora karcinoma kroz stjenku mokraÄnog mjehura. Karcinom prijelaznog epitela Äini 90% svih sluÄajeva raka mokraÄnog mjehura. Kroz dugo godina smrtnost prilikom cistektomije je bila velika ( 5-10%), meÄutim, vjerojatno zbog unapreÄenja kirurÅ”kog postupka, evolucije jedinice intenzivne njege, otkriÄa i dostupnosti novih antibiotika, radikalna cistektomija postaje uÄestali ozbiljan kirurÅ”ki zahvat u bolniÄkim ustanovama. Zbog navedenih poboljÅ”anja u medicini, moratalitet pacijenata kod radikalne cistektomije je pao na 1-2 %. Usprkos toga komplikacija cistektomije ima mnogo i pomno se odluÄuje o vrÅ”enju tog zahvata. Opseg aktivnosti medicinske sestre u preoperativnom periodu je opÅ”iran. Temelji se na pripremi bolesnika pribora i okoline. NajÄeÅ”Äe sestrinske dijagnoze u tom periodu su anksioznost, nedostatak znanja i strah
Perioperativna zdravstvena njega kod bolesnika s cistektomijom
Cistektomija je pojam koji oznaÄava potpuno uklanjanje mokraÄnog mjehura. Cistektomija je radikalan zahvat, te se on vrÅ”i samo kada se druge metode lijeÄenja pokažu neefikasne. Stupanj radikalnosti cistektomije ovisi o stupanju metastaze karcinoma, pozicije, te stupnju prodora karcinoma kroz stjenku mokraÄnog mjehura. Karcinom prijelaznog epitela Äini 90% svih sluÄajeva raka mokraÄnog mjehura. Kroz dugo godina smrtnost prilikom cistektomije je bila velika ( 5-10%), meÄutim, vjerojatno zbog unapreÄenja kirurÅ”kog postupka, evolucije jedinice intenzivne njege, otkriÄa i dostupnosti novih antibiotika, radikalna cistektomija postaje uÄestali ozbiljan kirurÅ”ki zahvat u bolniÄkim ustanovama. Zbog navedenih poboljÅ”anja u medicini, moratalitet pacijenata kod radikalne cistektomije je pao na 1-2 %. Usprkos toga komplikacija cistektomije ima mnogo i pomno se odluÄuje o vrÅ”enju tog zahvata. Opseg aktivnosti medicinske sestre u preoperativnom periodu je opÅ”iran. Temelji se na pripremi bolesnika pribora i okoline. NajÄeÅ”Äe sestrinske dijagnoze u tom periodu su anksioznost, nedostatak znanja i strah
Utjecaj odabranih ksenobiotika na boju urina
Use of any xenobiotic can result in adverse effects which are
often results of the effects of xenobiotic itself, its metabolites
and complexes with endobiotics. Adverse effects can sometimes be serious, even
life-threatening, and sometimes completely harmless. One type of adverse effects
is change of urine colour after application of some xenobiotics. Urine colour
change due to the xenobiotics application can be result of the colour of xenobiotic
itself or the colour of its metabolites. Possible metabolic reactions that can
result in urine discoloration include different oxidoreductions, mostly catalysed
by cytochrome 450 enzymes, different conjugations, bacterial reactions, photolysis,
complexation of metal cations and even chemical reaction with urinary
catheter. Even though these adverse effects are mostly harmless, patients often
develop fear and discomfort which can lead to reduced adherence in case of
some drugs. Therefore, education of patients as well as health professionals
about possible urine colour change after application of some xenobiotics is of
importance. In this paper, effects of selected xenobiotics on the urine colour and
their biochemical basis are given