Nurses' performance in the face of complications during hemodialysis
Keywords:
Chronic Kidney Disease, Nursing Care, HemodialysisAbstract
Introduction: Chronic renal failure, also known as chronic kidney disease, is a clinical condition characterized by the slow loss of kidney function, whose main function is to remove waste and excess water from the body. This whole problem contributes to a decline in the individual's body, with a variety of clinical manifestations that cause damage. Because it is irreversible, treatment occurs as a way of replacing kidney function. Dialysis is usually necessary when kidney function is lost. In general, most patients tolerate hemodialysis well; however, side effects of hemodialysis can occur. Objectives: To highlight the role of nurses in dealing with complications that can occur in individuals with chronic renal failure during hemodialysis sessions; to describe the main complications that can occur during hemodialysis sessions; and to outline the interventions developed by nurses in dealing with complications during hemodialysis. Method: This is a narrative literature review with a qualitative approach. Results: Thirteen articles were selected for in-depth analysis. These studies are shown in the following table with information about them. Discussion: The most commonly associated complications include hypotension, muscle cramps, nausea and vomiting, headache, purities, fever and chills. Many of the complications are associated with hypotension. Rarely, life-threatening complications such as arrhythmias and other cardiovascular complications occur. Conclusion: As well as providing care, nurses in this context help to identify these complications early on, so that they can intervene appropriately and promote health and well-being, even in the face of the limitations imposed by the disease.
