Nursing Care in Individuals with Hepatorenal Syndrome

Abstract

Hepatorenal syndrome is one of the most common complications seen in patients with liver failure. Azotemia, oliguria, decreased glomerular filtration rate, and renal failure manifested by increased persistent acidity. There is no structural problem in the kidneys. Portal hypertension and splenic arterial vasodilation cause the formation of hepatorenal syndrome. As a result, renal vasoconstriction causes of renal hypoperfusion. Acute tubular necrosis due to inadequate perfusion during surgery, postoperative hypovolemia, and drug-induced nephrotoxicity in patients with liver transplantation are other important causes of renal failure after liver transplantation. To correct splenic and systemic vasoconstriction, to provide vasodilatation of the kidneys, and to provide normovolemia with sodium balance are the treatment aims. In nursing care; In the clinic, the patient's hemodynamics should be stabilized, laboratory findings should be monitored and the patient's condition should be evaluated frequently. Also, the patient should be monitored in terms of fluid-electrolyte imbalances. Sudden changes in critical values such as the patient's urine output, mean arterial pressure, creatinine clearance and serum creatinine due to hepatorenal syndrome, edema due to water and salt retention cause the patient's hemodynamics to be negatively affected. Monitoring of patients is important, especially in intensive care units. © 2021, Turk Nefroloji Diyaliz ve Transplantasyon Hemsireleri Dernegi. All rights reserved.