Turkiye Klinikleri Journal of Nursing Sciences

.: REVIEW
Karaciğer Nakli Yapılan Hastanın Yoğun Bakım Süreci
Intensive Care Process of Liver Transplant Patient
Fatma DEMİR KORKMAZa, Tuğba Nur ÖDENb
aEge Üniversitesi Hemşirelik Fakültesi, Cerrahi Hastalıkları Hemşireliği ABD, İzmir, TÜRKİYE
bEge Üniversitesi Organ Nakli Uygulama ve Araştırma Merkezi, İzmir, TÜRKİYE
Turkiye Klinikleri J Nurs Sci. 2021;13(1):139-51
doi: 10.5336/nurses.2020-75828
Article Language: TR
Full Text
ÖZET
 Son dönem karaciğer yetmezliği bulunan hastalar, sıklıkla birden fazla kronik hastalığı bulunan ve organlarında fizyolojik bozuklukları olan hastalardır. Bu hastalarda malnütrisyon, sarılık, kanama bozuklukları, elektrolit dengesizlikleri, enfeksiyon, nörolojik semptomlar, uzamış hastane yatışları gibi klinik durumlar söz konusu olabilmektedir. Ameliyat öncesi dönemde nakil listesinde uzun bekleme süreci de hastaların klinik durumunu daha da ağırlaştırabilmektedir. Ayrıca donör kriterlerinin, son yıllarda eskisine kıyasla çok daha genişletilmiş olması çoklu hastalığı olan bireyleri donör olabilir hâle getirmiştir. Bu durum, alıcının ameliyat sonrası klinik durumunu daha da kritik hâle getirmektedir. Büyük bir cerrahi girişim olan karaciğer naklinin riskleri, bu faktörler ile birleştiğinde ameliyat sonrası dönemde yönetimi zor olan bir süreç ortaya çıkarmaktadır. Bu nedenle karaciğer nakli yapılan hastaların, ameliyat sonrası yoğun bakım izlemi ve hemşirelik bakımı kritik önem taşımaktadır. Bu makalede, karaciğer nakli yapılan hastanın yoğun bakım sürecine yer verilmiştir.

Anahtar Kelimeler: Karaciğer nakli; hemşirelik bakımı; postoperatif bakım; yoğun bakım
ABSTRACT
 Patients who have end-stage liver failure are often patients with more than one chronic disease and physiological disorders in their organs. These patients may have clinical conditions such as malnutrition, jaundice, bleeding disorders, electrolyte imbalances, infection, neurological symptoms, prolonged hospitalizations. The long waiting period in the transplant list in the preoperative period may also worsen the clinical condition of the patients. In addition, the donor criteria have been expanded in recent years compared to the past has made individuals with multiple diseases become donors. This situation, combined with the risks of liver transplant, which is already a major surgical intervention, reveals a process that is difficult to manage in the postoperative period. Therefore, post-operative intensive care followup and nursing care is critical for patients who have had a liver transplant. In this article, intensive care process of liver transplant patient is given.

Keywords: Liver transplantation; nursing care; postoperative care; critical care
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"Turkiye Klinikleri" in its sole discretion may change the hereby "Terms of Use" anytime announcing within the "SITE". The changed terms of the hereby "Terms of Use" will become valid when they are announced. Hereby "Terms of Use" cannot be changed by unilateral declarations of users.

7. FORCE MAJEURE

"Turkiye Klinikleri" is not responsible for executing late or never of this hereby "Terms of Use", privacy policy and "USER Contract" in any situation legally taken into account as force majeure. Being late or failure of performance or non-defaulting of this and similar cases like this will not be the case from the viewpoint of "Turkiye Klinikleri", and "Turkiye Klinikleri" will not have any damage liability for these situations. "Force majeure" term will be regarded as outside of the concerned party's reasonable control and any situation that "Turkiye Klinikleri" cannot prevent even though it shows due diligence. Also, force majeure situations include but not limited to natural disasters, rebellion, war, strike, communication problems, infrastructure and internet failure, power cut and bad weather conditions.

8. LAW AND AUTHORISATION TO FOLLOW

Turkish Law will be applied in practicing, interpreting the hereby "Terms of Use" and managing the emerging legal relationships within this "Terms of Use" in case of finding element of foreignness, except for the rules of Turkish conflict of laws. Ankara Courts and Enforcement Offices are entitled in any controversy happened or may happen due to hereby contract.

9. CLOSING AND AGREEMENT

Hereby "Terms of Use" come into force when announced in the "SITE" by "Turkiye Klinikleri". The users are regarded to agree to hereby contract terms by using the "SITE". "Turkiye Klinikleri" may change the contract terms and the changes will be come into force by specifying the version number and the date of change on time it is published in the "SITE".

 

30.03.2014

Privacy Policy

We recommend you to read the terms of use below before you visit our website. In case you agree these terms, following our rules will be to your favor. Please read our Terms of Use thoroughly.

www.turkiyeklinikleri.com website belongs to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. and is designed in order to inform physicians in the field of health

www.turkiyeklinikleri.com cannot reach to user’s identity, address, service providers or other information. The users may send this information to the website through forms if they would like to. However, www.turkiyeklinikleri.com may collect your hardware and software information. The information consists of your IP address, browser type, operating system, domain name, access time, and related websites. www.turkiyeklinikleri.com cannot sell the provided user information (your name, e-mail address, home and work address, phone number) to the third parties, publish it publicly, or keep it in the website. Gathered information has a directing feature to be a source for the website’s visitor profile, reporting and promotion of the services.

www.turkiyeklinikleri.com uses the taken information:

-To enhance, improve and maintain the quality of the website

-To generate visitor’s profile and statistical data

-To determine the tendency of the visitors on using our website

-To send print publications/correspondences

-To send press releases or notifications through e-mail

-To generate a list for an event or competition

By using www.turkiyeklinikleri.com you are considered to agree that;

-Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. cannot be hold responsible for any user’s illegal and immoral behavior,

-Terms of use may change from time to time,

-It is not responsible for other websites’ contents it cannot control or the harms they may cause although it uses the connection they provided.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. may block the website to users in the following events:

-Information with wrong, incomplete, deceiving or immoral expressions is recorded to the website,

-Proclamation, advertisement, announcement, libelous expressions are used against natural person or legal identity,

-During various attacks to the website,

-Disruption of the website because of a virus.

Written, visual and audible materials of the website, including the code and the software are under protection by legal legislation.

Without the written consent of Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. the information on the website cannot be downloaded, changed, reproduced, copied, republished, posted or distributed.

All rights of the software and the design of the website belong to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. will be pleased to hear your comments about our terms of use. Please share the subjects you think may enrich our website or if there is any problem regarding our website.

info@turkiyeklinikleri.com