Opieka nad pacjentem z niewydolnością serca i nerek kwalifikowanym do jednoczasowego przeszczepienia nerki i serca przy zastosowaniu wszczepienia mechanicznego wspomagania krążenia — opis przypadku

Renal impairment associated with heart failure is a common clinical problem that worsens prognosis in major illness. Severe renal failure is contraindicated for heart transplantation. An effective treatment is combined renal and cardiac transplantation provided the patient benefits are analyzed. Therapeutic option for this group of patients may also be the use of mechanical cardiovascular support. The aim of the study was to present nursing problems and proposals for nursing interventions in patients with severe heart and renal insufficiency referred for combined heart-renal transplantation/mechanical cardiac support. The case of a 32-year-old patient with dilated cardiomyopathy, toxic etiology, chronic renal disease at stage V, treated with dialysis was analyzed. The study used the case study method using the following research techniques: observation, analysis of medical records of nurses and doctors.