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Related Concept Videos

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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Nephrotic Syndrome III : Nursing Management01:24

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Nursing management for nephrotic syndrome adapts as the disease progresses, with strategies evolving to address advancing symptoms and complications.Early-Stage Management In the early stages, nursing interventions for nephrotic syndrome resemble those used in managing acute glomerulonephritis, focusing on symptom monitoring, fluid balance, and managing mild to moderate edema.Vital Signs: Regularly monitor blood pressure, pulse, respiratory rate, and temperature to promptly identify...
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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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Renal Failure: Dose Adjustments01:11

Renal Failure: Dose Adjustments

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In patients with renal impairment, drugs undergo significant changes in their pharmacokinetics, which require dosage adjustments to ensure safe and effective therapy.
Reduced renal clearance and elimination rate are common outcomes of renal impairment. These alterations lead to a prolonged elimination half-life and an altered apparent volume of distribution for drugs. As a result, dosage adjustments are typically necessary to maintain optimal drug levels in the body.
However, dosage adjustments...
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Chronic Kidney Disease II: Clinical Manifestations01:24

Chronic Kidney Disease II: Clinical Manifestations

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Chronic Kidney Disease (CKD) progressively impairs multiple body systems due to the accumulation of uremic toxins, which disrupt cellular functions across various organs.Neurologic symptomsNeurologic symptoms often arise early in CKD, as uremic toxin buildup drives changes in cognitive and motor functions. Patients frequently experience fatigue, headache, confusion, difficulty concentrating, and, in severe cases, seizures. Peripheral neuropathy commonly manifests as burning sensations in the...
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Improved Renal Denervation Mitigated Hypertension Induced by Angiotensin II Infusion
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Geriatric Nephrology.

Debra J Hain1, Mary S Haras2

  • 1Florida Atlantic University, Christine E Lynn College of Nursing, Boca Raton, FL, USA.

Critical Care Nursing Clinics of North America
|November 6, 2022
PubMed
Summary

Older adults in critical care face high risks of acute kidney injury (AKI). Critical care nurses need skills in geriatric assessment and evidence-based interventions to manage AKI risk factors effectively.

Keywords:
Acute kidney injuryAltered mental statusGeriatricOlder adults

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Area of Science:

  • Geriatric Medicine
  • Critical Care Nursing
  • Nephrology

Background:

  • Older adults in critical care settings are particularly vulnerable to acute kidney injury (AKI).
  • Multiple factors contribute to the elevated risk of AKI in this demographic.
  • Effective management requires specialized nursing knowledge and skills.

Purpose of the Study:

  • To review the risk factors for AKI in older adults undergoing critical care.
  • To highlight the essential skills for critical care nurses in managing AKI.
  • To discuss evidence-based interventions for preventing and treating AKI in this population.

Main Methods:

  • Literature review of current evidence on AKI in older adults.
  • Analysis of geriatric assessment components relevant to AKI.
  • Synthesis of evidence-based nursing interventions for AKI management.

Main Results:

  • Identified key risk factors for AKI in critically ill older adults.
  • Emphasized the importance of comprehensive geriatric assessment.
  • Outlined specific evidence-based interventions for nurses.

Conclusions:

  • Critical care nurses play a vital role in mitigating AKI risk in older adults.
  • Enhanced knowledge of geriatric assessment and evidence-based practices is crucial.
  • Proactive nursing interventions can improve outcomes for older adults at risk for AKI.