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Acute Kidney Injury and Chronic Kidney Disease

Terms in this set (171)

-The nurse should place a sign over the left side of the bed that states "No BP or venipuncture in the left arm."
-Assess the AV fistula every 8 hours for patency and for signs of infection and report any problems to the physician. Inspect the arm to ensure that there is no jewelry or any constrictive clothing on the arm.
- Assess vital signs as ordered and report hypotension promptly and receive orders to help increase the blood pressure so that the AV fistula does not clot off.
- When administering IV fluids, always use a volumetric infusion pump and make sure that the fluid does not contain potassium. (IV fluid, such as lactated Ringer's, has potassium in the mixture.) - -- - Assess medications to ensure that the medications DO NOT CONTAIN MAGNESIUM as well.
-Assess lungs for crackles, which is a sign of fluid overload.
-Monitor for complications: Pericarditis
-Monitor electrolytes closely and report abnormalities.
-Weigh patient daily to monitor fluid status.
- Monitor appetite and diet intake. Monitor serum albumin level as ordered.
- Provide pain medications as ordered for postoperative pain.
- Provide comfort measures for complications related to end-stage renal disease.
- Use mild super fatted soap or bath oil to cleanse skin and apply lotion to decrease dry skin.
- Provide diphenhydramine hydrochloride (Benadryl) as ordered for itching.
- Assess and report signs of infection at incisions, including fever, redness, edema, or purulent drainage.
- Maintain strict aseptic technique when handling any invasive lines or when performing dressing changes because the patient is at increased risk to develop an infection.
-Provide the patient with opportunity to vent feelings and reactions to treatment.