Chronic kidney patient: complications during hemodialytic treatment

Abstract

Objective: To describe the occurrence of complications that affect chronic kidney disease patients during hemodialysis treatment. Methods: This is an exploratory and descriptive study carried out by means of an Integrative Literature Review (ILR), using the virtual libraries SCIELO and BVS for data collection. The descriptors used were "kidney disease", "kidneys" and "hemodialysis". The eligibility criteria included original articles freely available in Portuguese and English, published between 2000 and 2022. Results: Chronic kidney disease (CKD) is a major public health problem. When left untreated or uncontrolled, CKD can progress to end-stage renal disease, increasing morbidity and mortality and requiring renal replacement therapy. Patients with CKD face physical and psychological limitations, which highlights the crucial role of nurses in effectively implementing interventions aimed at the real needs of these patients. Final considerations: Patients facing hemodialysis treatment due to chronic renal failure often experience a variety of challenges. Common complications include hypotension, which is statistically significant in more critical patients, tachycardia, instability in blood pressure and episodes of low blood glucose.