Challenges for nephrology nurses in the management of children with chronic kidney disease.

An important treatment goal for pediatric nephrology caregivers is the optimization of a child's capacity for normal growth and development. However, the physiologic and metabolic derangements associated with chronic kidney disease (CKD) significantly alter these processes, creating important challenges in the care of affected children. Evidence-based clinical practice guidelines support early recognition and treatment of CKD-related complications to improve growth and development and, ultimately, quality of life for children with this chronic condition.

Conservative management of chylothorax with autoinfusion of pleural fluid during hemodialysis.

Utilizing this new procedure in an outpatient nephrology setting, we were able to maintain E.T.'s positive nitrogen balance, prevent infection, and minimize respiratory distress.