Nursing pathway - If you've just walked through the door you should go to the Core Pathway first.  This section is for any nurse who cares for renal patients including students, registered nurses and some clinical support workers.  You will find the Textbook should have a useful introduction to each topic. 

Nursing syllabus by topic:

Acute renal failure (AKI)

Read about acute renal failure and its management (Edren Textbook).  What are the risks?  What do people die of?

Below are further links to general nursing issues in acute renal failure and intensive monitoring (high dependency units and intensive care settings; HDU and ICU)

Monitoring

Assessment of fluid status and prescription of fluids

Renal replacement therapy (RRT) in ARF

Pharmacology and prescribing

Nutrition

Critically important in ARF

Early intervention is essential.  See Nutrition in AKI (guideline 10) from Renal Association guidelines. 

Tissue viability

 

General nephrology ward

Many of the issues are general nursing issues, not specifically renal.  The particularly renal issues relate to

Remember that some patients have more renal experience than many of the staff. 

 

Outpatient maintenance haemodialysis

(Yvonne) - see Haemodialysis pathway

Home haemodialysis

(Johnny)

Peritoneal dialysis

See PD pathway

Primary care

See CKD

Renal outpatients

Renal outpatients (not including those already on RRT) fall into three groups

 

Prescribing for the patient with renal disease

(Lorna)

Advanced roles

These are going to end up as discrete pathways but for now are just listed. 

 

Documents

Med student << >> Physio/OT