Nursing Care of Patients with Chronic Kidney Disease Infected with COVID-19 in Critically ill Condition
Keywords:chronic kidney disease, COVID-19, critically ill patients, nursing
Introduction: The coronavirus disease 2019 (COVID-19) pandemic situation is an international public health emergency because it rapidly spreads and causes many consequences to patients, especially, its impact on health conditions of patients with chronic kidney disease (CKD). When these patients are infected with COVID-19, it leads to complex health problems and life-threatening critical illnesses.
Objectives: This article aimed to present nursing care for patients with CKD infected with COVID-19 regarding 4 issues as follows: 1) pathology of COVID-19, 2) COVID-19 induced kidney function and CKD, 3) treatment for patients with CKD infected with COVID-19 in a critical phase, and 4) role of nurses in the care of patients with CKD infected with COVID-19 in a critical phase.
Key issues: CKD is a major risk factor that results in people being infected with COVID-19 suffering from severe illness due to inflammation which causes severe infection leading to acute kidney injury. If CKD patients who are infected with COVID-19 do not receive the proper treatments, the severe complication can be a leading cause of death in a short period of time. Caring principle for these patients requires conservative treatments to maintain their kidney function as well as renal replacement therapy, particularly in patients whose kidneys can no longer function. Nurses therefore play an important role in holistically care of this patient group. .
Conclusion: Nurses are responsible for assessing, monitoring symptoms, maintaining physical and psychosocial aspects, as well as, preventing and controlling infection to decrease the mortality rate and to ensure that patients with CKD infected with COVID-19 are safe and free from adverse effects.
Implication: The proposed knowledge can be used to develop clinical practice guidelines and/or conduct studies related to patients with CKD infected with COVID-19.
Since knowledge of COVID-19 is constantly changing, healthcare providers should therefore keep up-to-date knowledge continually.
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