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A Nurses Role In The Prevention of Kidney Disease By Abubakar Ibrahim RN
Date Posted: 02/Jan/2020
Your kidneys may be small,but they perform many vital functions that help maintain your overall health, including filtering wastes and excess fluids from your blood.A serious kidney disease may lead to complete kidney failure and the need for dialysis treatment or a kidney transplant to stay alive.whilst effective treatments are available for kidney diseases, many people are unaware that the kidney disease can be prevented.
 
Nurses have a primary responsibility in promoting renal health and prevent renal diseases or retard the progression of the disease to end stage.Nurses in the ward do contribute greatly in early identification of patients at risk as well as early diagnosis of renal insufficiency.
 
Nurses role in the prevention of Kidney disease
-Care of patients at disease risk while on admission.
-Nurses must maintain strict input and output chat of all patients particularly at risk and those with acute renal insufficiency to monitor their renal function.
-Blood transfusion must be given in due attention to compatibility, amount, rate of drops as well as cardiovascular stability must be known and any eventuality be documented. incompatibility may expose one to the risk of renal insufficiency.
-Good ANC and post natal care reduces the risk of O&G associated renal diseases.
-General preventive measures of drug induced nephropathy include using alternative non-nephrotoxic drugs whenever possible.
-Adequate rehydration of patients by administering the required dose of fluid as prescribed.
-Early creation of AV fistula or graft is important in the care of renal diseases.
-Acute and passive exercise improves Cardiovascular function through improved cardiac output.This improves renal blood supply which results to improved nitrogenous waste excretion and adequate tissue perfusion.
-Advise on  renal diet shouldn't suit the  stage of renal disease, age and  whether a client is on dialysis or not.
-All possible dialysis complications should be prepared for and incase any complication manifest, should be properly managed.
-pre-renal transplant education.
 
Challenges
-Staffing problem
-Lack of motivation
-Delayed creation of an AV fistula
-Lack of compliance to treatment regime by some patients.
-Lack of Funds.
 
Thank you

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