Nursing Care For Hemodialysis Patients
Adapt from nephrology nursing practice recommendations developed by Canadian Association of Nephrology and Technology (CANNT) based on best available evidence and clinical practice guidelines, a nephrology nurse should perform:
Hemodialysis Vascular Access: Assess the fistula/graft and arm before, after each dialysis or every shift: the access flow, complications Assess the complication of central venous catheter: the tip placement, exit site, complications document and notify appropriate health care provider regarding any concerns. educates the patient with appropriate cleaning of fistula/graft and exit site; with recognizing and reporting signs and symptoms of infection and complication.
Hemodialysis adequacy: Assesses patient constantly for signs and symptoms of inadequate dialysis. Assesses possible causes of inadequate dialysis. Educations patients the importance of receiving adequate dialysis.
Hemodialysis treatment and complications: Performs head to toe physical assessment before, during and after hemodialysis regarding complications and access’s security. Confirm and deliver dialysis prescription after review most update lab results. Address any concerns of the patient and educate patient when recognizing the learning gap.
Medication management and infection control practice: Collaborate with the patient to develop a medication regimen. Follow infection control guidelines as per unit protocol.
Read more about this topic: Hemodialysis
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