Calciphylaxis: what nurses need to know.

Calciphylaxis is a rare and potentially fatal complication of end stage renal disease (ESRD) and secondary hyperparathyroidism associated with abnormal calcium metabolism. Painful purple skin lesions are often the presenting sign with digital ischemia, ulcerations, and necrosis being the characteris...

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Publicado en:Nephrology Nursing Journal Vol. 29; no. 5; pp. 433 - 443
Autor principal: Bliss DE
Formato: case study CEU exam questions tables/charts Journal Article
Publicado: American Nephrology Nurses' Association Oct2002
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Oct2002
      vid: 29
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      pub: American Nephrology Nurses' Association
      place: Pitman, New Jersey
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        atl: Calciphylaxis: what nurses need to know.
      aug:
        au: Bliss DE
        affil: Cardiovascular Nurse Practitioner/Research Study Coordinator, Cincinnati Veterans Affairs Medical Center, Cincinnati, OH
      sug:
        subj:
          Calciphylaxis
          Calciphylaxis Nursing
          Kidney Failure, Chronic Complications
          Skin Ulcer
          Hyperparathyroidism Complications
          Education, Continuing (Credit)
          Skin Manifestations
          Diagnosis, Differential
          Necrosis
          Phosphates
          Morbidity
          Mortality
          Fluid-Electrolyte Imbalance
          Nephrology Nursing
          Middle Age
          Female
          Middle Aged: 45-64 years
          Female
      ab: Calciphylaxis is a rare and potentially fatal complication of end stage renal disease (ESRD) and secondary hyperparathyroidism associated with abnormal calcium metabolism. Painful purple skin lesions are often the presenting sign with digital ischemia, ulcerations, and necrosis being the characteristic features of the disease. Skin or incisional biopsy showing widespread calcifications and fibrinous thrombi without inflammation will confirm the diagnosis. Early recognition and prompt treatment of calciphylaxis is vital for symptom relief, ulcer healing, and prevention of sepsis and death. This article will educate nurses to recognize this disease in hope of early treatment. The article includes information about disease history, pathogenesis, etiology, clinical manifestations, diagnosis, prevention, and current treatment, and, in addition, presents case study of a patient with calciphylaxis.
      pubtype: Academic Journal
      doctype:
        case study
        CEU
        exam questions
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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