Health Promotion and Maintenance
Simple education to provide healthy adults to prevent acute kidney injury
What is maintain hydration, at least 2-3L of water a day?
pg 1393 9th ed.
pg 1377 10th ed
Kidney stone
What is a postrenal cause?
Table 68-4 pg 1392 9th ed
Table 63-4 pg 1377 10th ed
A first intervention to promote kidney perfusion
What is a fluid challenge?
9th ed pg 1396
10th ed pg 1381
The required sodium limit for CKD and ESKD patients.
What is 1-3 g daily?
9th ed pg 1408
10th ed pg 1393
The position the patient must maintain during PD dwell period.
What is any position? The catheter may be disconnected during dwell time and then reconnected later.
9th ed pg 1418
10th ed pg 1402
Nursing interventions for early recognition of AKI
What is Accurate I/O measurement and daily weights?
9th ed pg 1393
10th ed pg 1377
Systemic infection (sepsis)
What is pre and intrarenal cause?
Table 68-4 pg 1392 9th ed
Table 63-4 pg 1377 10th ed
Bypassing the prostate to initiate flow of urine
What is a urethral catheter?
Teaching for signs and symptoms of hypercalcemia (complication from phosphate binders) that should be reported to the doctor.
What are muscle weakness, tremors, bone pain, and anorexia?
9th ed pg 1409
10th ed 1394
A common complication during hemodialysis
What is hypotension?
Critical Rescue box pg 1416 9th ed
pg 1401 10th ed.
Ideal urinary output
What is 0.5mL/kg/hr or 30ml/hr?
9th ed pg 1393
10th ed pg pg 1377
Glomerulonephritis
What is intrarenal cause?
Table 68-4 pg 1392 9th ed
Table 63-4 pg 1377 10th ed
Frequency for monitoring urinary catheter output in the unstable patient
What is hourly?
Breathing pattern seen in CKD (metabolic acidosis, complication) that aids in the excretion of CO2 via the lungs
What is Kussmaul respirations (Fast and deep)?
9th ed pg 1404
10th ed 1389
The most common complication of PD and how to prevent it
What is infection/peritonitis and use aseptic technique when accessing the catheter/nurse and client wear a mask when changing the dressing?
9th ed pg 1420
10th ed 1403
Important labs to monitor kidney function
What is creatinine, BUN, potassium, sodium, serum osmolarity, GFR, and urinalysis?
Chart 68-1 pg 1395 9th ed
10th ed pg 1379
Blood loss
What is prerenal cause?
Table 68-4 pg 1392 9th ed
Table 63-4 pg 1377 10th ed
May assist with drug dosage calculations and inclusion/exclusion of medications based on kidney function
What is a pharmacist consult?
Some drugs must have a peak and trough in order to properly dose them.
Aminoglycosides (gentamycin, vancomycin, tobramycin)
Common in patients in late stages of CKD and stems from a decreased erythropoietin level
What is anemia?
9th ed pg 1401
10th ed pg 1386
Cardiac events during HD are associated with these underlying cardiovascular disease.
What are cardiac dysrhythmias, left ventricle hypertrophy, and coronary artery disease?
9th ed pg 1417
10th ed pg 1401
Certain antibiotics and chemotherapeutics, NSAIDs, IV contrast
What are nephrotoxic substances? Table 68-5
9th ed pg 1393
10th ed pg 1377
BPH
What is postrenal cause?
Table 68-4 pg 1392 9th ed
Table 63-4 pg 1377 10th ed
Assistance with maintaining caloric needs in the AKI patient
What is nutritional support consultation and supplementation?
Two leading causative factors of CKD
What are diabetes and hypertension?
After hemodialysis, report these symptoms to the physician if they occur.
What is hypotension, restlessness, headaches, or chest pain, ?
9th ed pg 1417
10th ed pg 1401