Chronic kidney disease is defined as a reduced glomerular filtration rate, increased urinary albumin excretion, or both. GFR< 60mL/min/1.73 m2 for > 3 months.
Diabetes mellitus is the most common cause of chronic kidney disease. Markers of damage include abnormalities in the blood or urine tests or imaging studies. The level of GFR, which is accepted as the best measure of the kidney’s ability to filter blood allows for the expression of kidney function on a continuous scale.
For example, a patient presented to the emergency clinic with high fatigue, hyperglycemia and high blood pressure was diagnosed with chronic renal failure. He also had an earlier acute kidney injury. After being seen by the nephrologist, he was referred to the dialysis unit for hemodialysis. In this scenario, the patient should learn to manage by himself his disease. Therefore, it is the nurse’s responsibility to …show more content…
To manage chronic kidney disease, the patient should be educated with the management of diabetes and hypertension. As we know, diabetes is one of the leading cause of renal disease, it causes blood vessel and nerve damage leading to the involvement of many organs including the kidneys. In this scenario, the patient is diabetic and hypertensive. The first and most important task as a nurse is to assess the patient on his knowledge about his disease. If the patient can handle many of his symptoms, he can prevent or slow the progression of his disease. Self management also depends on the age, socio-economic status, education, support, exercise and rehabilitation. Teach the patient to keep blood glucose level as close to normal as possible. Frequency and timing of self maintaining should be continued on the needs and goals of the individual. Hypoglycemia and hyperglycemia states should be