Acute Kidney Injury

The aim of the assignment is to critically analyse, evaluate the interventions and approaches relevant to the author’s work place in order to deepen knowledge, demonstrate understanding of the main issues and theoretical underpinnings. Furthermore, the assignment will explore relevant perspectives, demonstrate personal development and propose reasoned, practical responses to the work place.
The author works in National Health Service in Intensive Care Unit - often referred to as the ICU or ITU - is a place where the sickest hospital patients are nursed. They may be classified as ICU when requiring the highest level of technical and nursing care or High Dependency when requiring more attentive care than can be provided in a general ward. Whilst the length of a patients’ stay within these units varies according to their precise condition and rate of recovery, typical durations are three to seven days for ICU and two to three days for HDU. Staff members working in ICU provide the highest possible standards of patient care. Our nursing philosophy is patient and relative centered and we wish to provide maximum support to patients and their visitors, in what can be an extremely stressful time. The Nursing and Midwifery Council Code of Conduct (2010) states, that a nurse is accountable for an action, ©2011
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In intensive care unit, the prevalence of acute kidney injury is approximately 50-60%, with 15-20% of patients requiring renal replacement therapy (RRT). In majority of the cases the pathology of AKI is acute tubular necrosis because of hypoxic tubular injury, associated with severe systemic disease. AKI is potential reversed following appropriate and timely intervention. Such as early recognition and treatment of imminent AKI is important as hospital...