Management of Fluid Overload in Chronic Renal Failure
Management of Fluid overload in Chronic Renal Failure (CRF)
Chronic Renal Failure is a long term serious irreversible condition, described as the gradual loss of kidney function (McCarthy, et al 2009). The number of patients suffering from CRF in United Kingdom (UK) is rising rapidly. Ferenbach and Wood (2005, p.16) state that in UK, about 6000 people are commencing dialysis treatment per year. Fluid overload is a frequently observed finding in renal failure patients. About one third of the patients receiving dialysis for Chronic Renal Failure have fluid overload despite advice to restrict their oral fluid intake (Roderick, et al 2004).
This assignment will examine the clinical effectiveness of the management of fluid overload in patients with chronic renal failure undergoing continuous haemodialysis. It also focuses on the consequences associated with fluid overload in such patients. In addition, I will critically analyse my experience on nursing a patient with fluid overload suffering from End Stage Renal Failure (ESRD). The physiology by which fluid overload contribute to the progression of the disease is also been examined.
Rationale for selection of topic
Recent research (National Kidney Federation (NKF), 2006 suggests that 1 in 10 people have CRF. Compared to young adults, 1 out of 2 in those aged over 75 years are suspected to have Kidney failure . Jassal (2009) also supports that chronic renal failure is increasingly being recognized in elderly individuals’ globally. In UK, between 2 and 3% of the National Health Service budget is spent on dialysis and transplantation and in many cases the patients are elderly (Black, et al 2010, p.25). The concern with fluid overload in haemodialysis patients is not a new problem and hence it has been considered as a challenge for the health professionals especially when the patients are non-compliant. Therefore this particular topic seems to be so important that it would be worth examining in detail. I will
Chronic Renal Failure is a long term serious irreversible condition, described as the gradual loss of kidney function (McCarthy, et al 2009). The number of patients suffering from CRF in United Kingdom (UK) is rising rapidly. Ferenbach and Wood (2005, p.16) state that in UK, about 6000 people are commencing dialysis treatment per year. Fluid overload is a frequently observed finding in renal failure patients. About one third of the patients receiving dialysis for Chronic Renal Failure have fluid overload despite advice to restrict their oral fluid intake (Roderick, et al 2004).
This assignment will examine the clinical effectiveness of the management of fluid overload in patients with chronic renal failure undergoing continuous haemodialysis. It also focuses on the consequences associated with fluid overload in such patients. In addition, I will critically analyse my experience on nursing a patient with fluid overload suffering from End Stage Renal Failure (ESRD). The physiology by which fluid overload contribute to the progression of the disease is also been examined.
Rationale for selection of topic
Recent research (National Kidney Federation (NKF), 2006 suggests that 1 in 10 people have CRF. Compared to young adults, 1 out of 2 in those aged over 75 years are suspected to have Kidney failure . Jassal (2009) also supports that chronic renal failure is increasingly being recognized in elderly individuals’ globally. In UK, between 2 and 3% of the National Health Service budget is spent on dialysis and transplantation and in many cases the patients are elderly (Black, et al 2010, p.25). The concern with fluid overload in haemodialysis patients is not a new problem and hence it has been considered as a challenge for the health professionals especially when the patients are non-compliant. Therefore this particular topic seems to be so important that it would be worth examining in detail. I will
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