Water-Electrolyte Balance
Conditions
Interventions
The proposed intervention was carried out based on a nursing consultation, which is aimed at achieving and maintaining an adequate water balance in people on hemodialysis. This protocol consists of 13
keeping an accurate record of intake and output
monitoring of laboratory results related to fluid retention
monitoring of hemodynamic status, including mean arterial pressure
monitoring of vital signs, as appropriate
monitoring of fluid excess/retention indicators as appropriate
monitoring the patients weight change before and after dialysis, if appropriate
evaluation of the site and extent of edema, if present
monitoring food/liquid intake and calculating daily caloric intake, as appropriate
guidance to the patient regarding fasting, as appropriate
and distribution of fluid intake over the 24 hours, as appropriate. Guidance directed to the family member and/or caregiver regarding assistance to the patient in feeding, as appropriate, is directed
Sponsors
Universidade da Integração Internacional da Lusofonia Afro-Brasileira
Universidade da Integração Internacional da Lusofonia Afro-Brasileira
Eligibility
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: Having a medical diagnosis of Chronic Kidney Disease. Be on hemodialysis treatment for at least 8 months. Be registered and monitored at the Baturité dialysis clinic. Be over 18 years old. Both genders. Having the nursing diagnosis excessive fluid volume. Having scored less than 4 points on the expected fluid balance nursing outcome scale
Exclusion criteria
Exclusion criteria: Be in temporarily or permanently impaired mental conditions that make it impossible for you to be aware of and cooperate with research
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| It is expected to find a positive change in the magnitude of indicators of the water balance nursing outcome between patients in the intervention group and those in the control group | — |
Secondary
| Measure | Time frame |
|---|---|
| It is expected to achieve a positive change in the prevalence and magnitude of the defining characteristics of the nursing diagnosis excessive fluid volume among patients in the intervention group and those in the control group, and even a change in the frequency of this diagnosis after the intervention;It is expected to achieve a positive change in the mean dry weights, pre-hemodialysis weight, post-hemodialysis weight, and percentage of weight gain between patients in the intervention group and those in the control group;It is expected to achieve a change in the results of biochemical tests linked to the volume of fluids and hemodialysis, such as pre-hemodialysis urea, post-hemodialysis urea, creatinine, RUR, potassium, phosphorus, calcium, hemoglobin and hematocrit, among patients in the intervention group and those in the control group | — |
Countries
Brazil
Contacts
Public ContactJosé Erivelton Ferreira
Universidade da Integração Internacional da Lusofonia Afro-Brasileira
Outcome results
None listed