Tip of the week: Monitor at-risk residents to prevent permanent kidney damage
Contemporary Long-Term Care Weekly, March 5, 2009
Prerenal azotemia, the most common form of kidney failure seen in hospitalized patients, is a very serious condition that can cause permanent renal damage and failure. Being aware of the resident’s risk factors, prevention of dehydration, and close monitoring are always best. Regularly monitor the at-risk resident’s laboratory values. Other nursing measures are the following:
- Monitoring input and output; never hesitate to order input and output as a nursing measure
- Carefully evaluating fluid I&O every 24 hours and comparing with dietitian’s recommended fluid intake
- Monitoring weight
- Monitoring vital signs
- Monitoring level of consciousness
- Encouraging fluids
This is an excerpt from HCPro’s book The Long-Term Care Nursing Desk Reference, written by Barbara Acello, MS, RN.
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