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Chronic Kidney Disease III: Interprofessional Care01:28

Chronic Kidney Disease III: Interprofessional Care

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Chronic kidney disease (CKD) requires collaborative and comprehensive management. CKD progresses through stages and can lead to end-stage kidney disease (ESKD) if untreated. Interprofessional collaboration and patient education are crucial, enabling patients to manage their health and improve their quality of life.Diagnostic approach for chronic kidney diseaseThe diagnosis of CKD primarily focuses on the glomerular filtration rate (GFR), which assesses kidney function by measuring how well...
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Chronic Kidney Disease IV: Nursing Management01:18

Chronic Kidney Disease IV: Nursing Management

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Nursing management is essential for preventing complications, maintaining stability, and improving patients' quality of life in chronic kidney disease (CKD). By using a structured approach, nurses help slow CKD progression and support effective patient care​.1. Comprehensive patient assessmentEffective management begins with nurses reviewing the patient’s medical history, and identifying key risk factors like diabetes, hypertension, and nephrotoxic drug use. Nurses assess signs of...
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Chronic Kidney Disease I: Introduction01:25

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Chronic Kidney Disease (CKD) arises when the kidneys progressively lose their ability to function, ultimately leading to end-stage renal disease. At this advanced stage, the kidneys can no longer filter waste or maintain essential body functions, requiring renal replacement therapy (RRT) through dialysis or a kidney transplant for survival.Early-stage chronic kidney disease and detection challengesIn CKD's early stages, symptoms often remain absent because healthy nephrons compensate for...
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Acute Kidney Injury V: Interprofessional Care01:20

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Acute Kidney Injury (AKI) requires a collaborative healthcare approach to restore renal function and prevent complications. Essential management strategies involve monitoring fluid and electrolyte balance, adjusting medications, initiating dialysis when necessary, and providing nutritional support.Fluid and Electrolyte ManagementFluid Monitoring: Regularly monitoring body weight, central venous pressure, and urine output helps detect fluid imbalances early. Patient intake and output are...
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Acute Kidney Injury VI: Nursing Management01:22

Acute Kidney Injury VI: Nursing Management

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Acute Kidney Injury (AKI) results in an inability to maintain fluid, electrolyte, and acid-base balance. Effective nursing management is critical in improving patient outcomes and includes comprehensive patient assessment and targeted interventions.Comprehensive Patient AssessmentA detailed history collection is essential, focusing on any recent infections, nephrotoxic medication use, or chronic conditions such as hypertension and diabetes that may contribute to AKI. During the physical...
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Kidney Transplant III: Nursing Management01:16

Kidney Transplant III: Nursing Management

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Postoperative Nursing Management for Kidney Transplant PatientsPostoperative nursing management care includes monitoring the surgical site, encouraging early movement, and promoting lung health through breathing exercises. Nurses also administer prescribed medications like H2-blockers, such as famotidine, or proton pump inhibitors, like omeprazole, to help prevent gastrointestinal ulcers and bleeding. Fungal infections in the mouth and bladder can result from immunosuppressive and antibiotic...
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Managing and treating chronic kidney disease.

Belinda Dring, Vicki Hipkiss

    Nursing Times
    |October 20, 2015
    PubMed
    Summary

    Chronic kidney disease (CKD) often co-occurs with diabetes, hypertension, and heart failure. Most CKD patients receive community-based care from GPs and nurses, not nephrologists, focusing on stages, management, and treatment.

    Area of Science:

    • Nephrology
    • Internal Medicine
    • Public Health

    Background:

    • Chronic kidney disease (CKD) is a progressive, long-term condition.
    • CKD frequently coexists with other serious health issues like diabetes, hypertension, and heart failure.
    • Most individuals with CKD are managed within community settings by general practitioners and nursing teams.

    Purpose of the Study:

    • To provide a comprehensive overview of chronic kidney disease.
    • To outline the different stages of CKD progression.
    • To detail current management and treatment strategies for CKD.

    Main Methods:

    • Literature review of current clinical guidelines and research.
    • Synthesis of information on CKD epidemiology, pathophysiology, and clinical presentation.

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  • Analysis of community-based care models versus specialist nephrology care.

    • Main Results:

    • CKD is a prevalent condition often linked with comorbidities.
    • Community-based healthcare providers manage the majority of CKD patients.
    • Effective management requires understanding CKD stages and tailored treatment plans.

    Conclusions:

    • Early detection and community-based management are crucial for CKD patients.
    • Integrated care involving GPs, nurses, and specialists improves patient outcomes.
    • Further research into optimizing community-based CKD care is warranted.