Nursing care of patients end stage renal disease with hemodialysis : 2 case study

Abstract

Chronic renal failure stage. Kidney disease permanently lose their incurable curative effect. The patient must receive renal replacement therapy. The hemodialysis as renal replacement therapy, one of the ways. A treatment to rescue urgently. In end stage renal disease patients with volume overloard, acidosis, sepsis.  heart failure treated fixed condition. But patients have nausea and vomiting. Do ordinary activities or work. Therefore, in the care of end stage renal disease patients. The treated with dialysis nurses must have knowledge about the disease, treatment, and to provide the nurse correctly. The patient is safe from complications and reduce the death rate of patients. The study chose to compare patients 2 cases by a chronic renal failure patient the final phase with water conditions than that treated by dialysis. To use as guidelines in patient care: a case study on patients with end stage renal disease with volume overload. Treated by hemodialysis. The 2 cases to the hospital with symptoms of tired breathe not full, do not flat have volume overload and anemia. A congenital disease diabetes and high blood pressure, and early diagnosis is end stage renal disease with volume overload. Treated with replacement therapy clinical hemodialysis patients both 2 cases received holistic care, and health status assessment in health. The nursing diagnosis NANDA used according to the problems and needs of patients, and better, the 2), distributed by licensed doctor medication to eat at home. And to recommend hemodialysis for 2 times. The patient will dialysis at private clinics and meeting follow-up visit. 1 months.