北京易康医疗投资有限公司血液透析应急预案及流程血液净化中心2016/04前言血液透析是一项专业性较强,风险性较大的医疗护理行为。在透析过程中经常出现一些偶然的、突发的变化,为应付某些意外情况的发生,特制定本应急预案及流程,以有效减少透析风险,保证病人的安全,提高医疗护理质量。二零一六年四月修订目录第一部分血液透析应急预案1.透析中发生低血压或休克的应急预案..................................12.透析中出现血压升高应急预案........................................33.透析中发生心力衰竭的应急预案......................................44.透析器反应的应急预案..............................................55.失衡综合症的应急预案..............................................76.肌肉痉挛的应急预案................................................87.血液透析中发生癫痫的应急预案......................................98.恶心和呕吐的应急预案.............................................109.头痛的应急预案...................................................1110.胸痛和背痛的应急预案.............................................1211.心律失常的应急预案...............................................1312.皮肤搔痒的应急预案...............................................1413.溶血的应急预案...................................................1514.透析中发热的应急预案.............................................1615.透析器破膜的应急预案.............................................1716.透析过程中静脉肿胀的应急预案.....................................1917.动静脉内瘘发生血栓的应急预案.....................................2018.动静脉穿刺针孔渗血的应急预案.....................................2219.深静脉留置导管感染的应急预案.....................................2320.长期留置导管功能不良的应急预案...................................2521.血液透析管路破裂的应急预案.......................................2622.血液透析管路意外脱落应急预案.....................................2723.体外循环凝血的应急预案...........................................2824.空气栓塞的应急预案...............................................3025.透析机空气报警预案...............................................3126.透析用水质异常的应急预案.........................................3227.透析液异常的应急预案.............................................3328.血液透析中异常脱水的应急预案.....................................3429.临时穿刺桡动脉的应急预案.........................................3530.输血反应的应急预案...............................................3631.坠床的应急预案...................................................3732.猝死的应急预案...................................................3833.停电的应急预案...................................................3934.停水的应急预案...................................................4035.透析机故障应急预案...............................................4136.火灾应急预案.....................................................4237.地震应急预案.....................................................4338.失窃应急预案.....................................................4439.透析患者发现传染疾病的应急预案...................................4540.医疗纠纷应急预案.................................................46第二部分血液透析应急预案流程1.透析中发生低血压的应急预案流程...................................482.透析中发生休克的应急预案流程.....................................493.透析中出现血压升高的应急预案流程...........................