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<meta name="description" content="様々な予期せぬトラブルが起こる透析現場．とっさの判断や対応に迷うことも少なくない．本書は，血液透析の実際の診療場面でよく遭遇する55のトラブルを，「初歩（基本）編」「緊急対応編」「患者さんのお悩み解決編」「合併症対策編」の4章に分けて解説．各トラブルに対する「チェックリスト」「背景」「原因」「初期対応」「予防策」「アフターフォロー」の流れによる解説で，必要な知識と対応力が身につく．血液透析に携わる">

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		<h1 class="catchCopy">透析現場での「どうすれば･･･？」にもう迷わない！疑問やトラブルの対処に必要な知識・対応力をこの1冊で身につける!!</h1>
		

		<h1 class="title titleWidth">血液透析トラブルシューティングAtoZ<span class="version"></span></h1>
		

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					編集：加藤明彦（浜松医科大学医学部附属病院血液浄化療法部病院教授）
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				<ul class="property"><li class="disc">A5判・280頁・2色刷</li><li class="disc">ISBN&nbsp;978-4-8306-2068-3</li><li class="disc">2023年6月1日発行</li></ul>

				
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		<div class="headers"><h3 class="current content">内容</h3><h3 class="preface">序文</h3><h3 class="indexes">主要目次</h3></div><section class="current content">様々な予期せぬトラブルが起こる透析現場．とっさの判断や対応に迷うことも少なくない．本書は，血液透析の実際の診療場面でよく遭遇する55のトラブルを，「初歩（基本）編」「緊急対応編」「患者さんのお悩み解決編」「合併症対策編」の4章に分けて解説．各トラブルに対する「チェックリスト」「背景」「原因」「初期対応」「予防策」「アフターフォロー」の流れによる解説で，必要な知識と対応力が身につく．血液透析に携わる医師・医療スタッフにオススメの1冊．</section><section class="preface">序文<br><br>　透析現場では，様々な予期せぬトラブルが起こります．その際にどう初期対応したら良いか，とっさの判断に迷う場面は少なくありません．そこで，血液透析治療で遭遇する様々な問題やトラブルに備え，実際の診療場面ですぐに必要となる知識と対応力を身につけられる実践書として，本書を企画しました．<br>　本書ではトラブルシューティングの初歩（基本）編として20項目，緊急対応編として9項目，患者さんのお悩み解決編として14項目，合併症対策編として12項目，合計55項目にわたるあらゆるトラブルが網羅されています．各トラブルの冒頭では，“どう対応すべきか”に関するチェックリストをつけるとともに，トラブルの背景，原因，初期対応，予防策，アフターフォローが箇条書きで列挙されています．さらに，解説の補足や重要な関連知識として，「知っておきたいポイント」がコラムとして記載されています．<br>　本書は，透析医療に従事する若手医師，透析患者を診療する機会がある非専門医のみならず，透析現場で緊急トラブルに遭遇する機会が多い看護師や臨床工学技士などの医療スタッフの方々にも，自信をもってお勧めできる一冊となっています．是非，緊急時のポケットマニュアルとして，本書をご活用いただけると幸いです．<br>　最後に，COVID-19によるコロナ禍で大変にお忙しい中，本書の執筆にご協力いただいた先生方に対し，心より御礼を申し上げます．<br><br>2023年5月<br>浜松医科大学医学部附属病院血液浄化療法部<br>加藤明彦</section><section class="indexes">Ⅰ　トラブルシューティング：初歩（基本）編<br>　1　腎代替療法の選択はどうする？<br>　2　穿刺しにくい<br>　3　シャント瘤が増大<br>　4　シャント血流が不良<br>　5　穿刺時の痛み<br>　6　ドライウエイトの設定はどうする？<br>　7　透析間の体重増加が多い<br>　8　透析中に血圧が低下<br>　9　透析後半に血圧が上昇<br>　10　Kt/Vが低い<br>　11　血清β<sub>2</sub>-ミクログロブリンが高い<br>　12　ESAが十分効かない<br>　13　血清リンが下がらない<br>　14　副甲状腺ホルモンが高い<br>　15　血清カリウムが高い<br>　16　血清マグネシウムが低い<br>　17　HbA1cが下がらない<br>　18　末梢動脈疾患が悪化<br>　19　もしかして酢酸アレルギー・不耐症？<br>　20　透析の見合わせ，中止にどう対応する？<br><br>Ⅱ　トラブルシューティング：緊急対応編<br>　21　緊急透析導入が必要<br>　22　バスキュラーアクセスが閉塞<br>　23　透析中に発作性頻脈が出現<br>　24　透析中に胸部圧迫感が出現<br>　25　透析中に寒気とともに発熱<br>　26　透析中に意識レベルが低下<br>　27　透析中に急な腹痛<br>　28　針刺し事故が起きた<br>　29　透析中に地震が発生<br><br>Ⅲ　トラブルシューティング：患者さんのお悩み解決編<br>　30　食欲がない<br>　31　疲れやすい<br>　32　脈が乱れる<br>　33　便秘がひどい<br>　34　よく眠れない<br>　35　足がむずむずする<br>　36　もの忘れがひどい<br>　37　脚がつりやすい<br>　38　皮膚がかゆい<br>　39　透析アミロイドーシスが心配<br>　40　帯状疱疹と判明<br>　41　季節性ウイルス感染（インフルエンザ，ノロウイルス）への対策は？<br>　42　なんだかいつも体調がすぐれない―潜在的副腎皮質機能低下症とは？<br>　43　新型コロナウイルス感染が判明<br><br>Ⅳ　トラブルシューティング：合併症対策編<br>　44　B型肝炎ウイルス（HBV），C型肝炎ウイルス（HCV）が陽性<br>　45　梅毒反応が陽性<br>　46　HIVが陽性<br>　47　身体活動量が低下<br>　48　ドライウエイトが減っている<br>　49　口腔ケアはどう行う？<br>　50　がんのスクリーニングはどう行う？<br>　51　骨塩量が低下<br>　52　妊娠が判明<br>　53　更年期障害を合併（男女それぞれ）<br>　54　腹膜透析はいつまで続ける？<br>　55　腎移植後の透析再導入にどう対応する？<br><br>索引</section></article>
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