CoachFangBeaver22
Based on how you will evaluate your EBP project, which independent…
Based on how you will evaluate your EBP project, which independent and dependent variables do you need to collect? Why?
Acute kidney injury (AKI) is a bodily condition that affects millions of patients worldwide. AKI is caused by a variety of factors, including decreased blood flow to the kidneys, certain medications, and certain medical procedures that involve the use of contrast dyes. One such procedure is a cardiac cath or electrophysiology procedure, which often requires the use of contrast dyes. These procedures are essential for the diagnosis and treatment of heart conditions, but they can also lead to AKI in patients with high creatinine levels. The purpose of this capstone project is to propose a solution to the issue of patients with acute kidney injury and high creatinine levels who require a procedure that involves the use of contrast dyes. The solution is a fluid bolus pre-procedure to help flush the kidneys and prevent further kidney injury.
Problem
Patients with AKI and high creatinine levels are at an increased risk of developing further kidney injury when undergoing a procedure that involves the use of contrast dyes. According to a study by Bostom et al. (2018), patients with high creatinine levels are 4.5 times more likely to develop AKI after exposure to contrast dyes. This could result in a variety of bodily complications, involving prolonged hospital stays, increased healthcare costs, and even death.
Intervention
The proposed solution to this problem is a fluid bolus pre-procedure. A fluid bolus involves the administration of a large volume of intravenous fluids before a procedure to help flush the kidneys and prevent further kidney injury. According to a study by Marenzi et al. (2019), patients who received a fluid bolus before a procedure involving the use of contrast dyes were less likely to develop AKI compared to patients who did not receive a fluid bolus. The authors concluded that fluid bolus therapy is a safe and effective intervention for reducing the risk of Acquiring AKI.
Quality initiative
The implementation of a fluid bolus pre-procedure as part of the care plan for patients with AKI and high creatinine levels who require a procedure involving contrast dyes is a quality initiative that can improve patient outcomes and reduce healthcare costs (Jha et al, 2019). According to a study by Jha et al. (2020), patients who developed AKI after exposure to contrast dyes had a longer hospital stay, higher healthcare costs, and a higher risk of death measure against patients who did not acquire AKI. By implementing a fluid bolus pre-procedure, healthcare providers can reduce the risk of AKI and improve patient outcomes.
Educational need
Nurses contribute a critical role in the implementation of a fluid bolus pre-procedure for patients with AKI and high creatinine levels. Based on a study by Stevens et al. (2021), nurses who received education on the administration of fluid bolus therapy were more likely to correctly administer the intervention and reduce the risk of AKI. This highlights the importance of providing nurses with the education and training needed to safely and effectively administer fluid bolus therapy. It also allows nurses to realize that the procedure occurs as a Collaborative interprofessional team counterparts (Jha et al, 2020). The implementation of a fluid bolus pre-procedure is a collaborative interprofessional team project that involves a variety of healthcare providers, including physicians, nurses, and pharmacists. Phillips et al. (2019), states that interprofessional collaboration is essential for ensuring the safe and effective administration of fluid bolus therapy. By working together, healthcare providers can improve patient outcomes and reduce the risk of AKI.
Effect
The effect of the proposed solution is a reduction in the occurrence of AKI in individuals with high creatinine levels who require a procedure involving the use of contrast dyes. The fluid bolus pre-procedure helps to flush the kidneys and prevent further kidney injury, reducing the risk of AKI and improving patient outcomes. Lee et al. (2021), depicts quite a statistical opinion depicting that patients who received a fluid bolus pre-procedure were 55% less likely to develop AKI compared to patients who did not receive a fluid bolus. This can lead to shorter hospital stays, lower healthcare costs, and improved patient satisfaction. This reduction in the occurrence of AKI makes room for improved patient recovery, including reduced hospital visits, minimized healthcare costs, and a lower risk of death (Marenzi et al, 2019).
Significance
The significance of this capstone project lies in the potential to improve patient outcomes and reduce its spread among individuals who require a procedure involving the use of contrast dyes. The issue of AKI in individuals with high levels of creatinine requires a procedure involving utilizing contrast dyes is of significant importance to nursing practice. Nurses are deeply involved in the administration of fluid bolus therapy and are responsible for monitoring patient outcomes. The successful implementation of a fluid bolus pre-procedure can improve patient outcomes and reduce the risk of AKI, making a positive impact on nursing practice. This highlights the importance of nursing practice in improving patient outcomes and reducing the risk of adverse events.
Conclusion
Patients with AKI and high creatinine levels who require a procedure involving the use of contrast dyes are prone to developing further kidney injury. The proposed solution to the issue of patients with AKI and high creatinine levels who require a procedure involving the use of contrast dyes is a fluid bolus pre-procedure. The fluid bolus helps to flush the kidneys and prevent further kidney injury, reducing the risk of AKI and improving patient outcomes. The implementation of this intervention is a quality initiative that involves interprofessional collaboration and education for nurses. The significance of this topic highlights the important role that nurses play in improving patient outcomes and reducing the risk of AKI. The implementation of this solution is a quality initiative and educational need for nurses, and a collaborative interprofessional team project for all healthcare providers. The significance of this capstone project lies in the potential to improve patient outcomes and reduce the infection rate among patients with high levels of creatinine.
References
Bostom, A. G., Silbershatz, H., & Rosenberg, I. H. (2018). Acute kidney injury after coronary angiography and intervention. Circulation, 137(5), 547-559.
Bostom, A. G., Silbershatz, H., Wun, C. C., Louis, T. A., Waikar, S. S., & Sarnak, M. J. (2018). Acute kidney injury and contrast-associated nephropathy in patients with chronic kidney disease. American Journal of Kidney Diseases, 71(2), 189-195.
Jha, A. K., Garcia-Garcia, G., Iannotti, L., & Li, Y. (2020). Acute kidney injury and contrast nephropathy. Journal of the American College of Cardiology, 76(1), 14-27.
Jha, V., Larive, B., & Ikizler, T. A. (2020). Acute kidney injury and contrast nephropathy: incidence, risk factors, and outcomes. American Journal of Kidney Diseases, 76(3), 325-334.
Lee, J. W., Lee, J. H., Park, J. W., & Kim, H. J. (2021). The effect of fluid bolus therapy on the incidence of acute kidney injury in patients undergoing cardiac catheterization. Clinical Nephrology, 86(3), 156-161.
Marenzi, G., Assanelli, E., & Campodonico, J. (2019). Fluid bolus before coronary angiography or intervention in patients at risk of acute kidney injury: a meta-analysis. Journal of the American College of Cardiology, 74(8), 996-1005.
Marenzi, G., Lauri, G., Assanelli, E., & Campodonico, J. (2019). Fluid bolus therapy for acute kidney injury prevention in high-risk patients undergoing cardiac procedures. American Journal of Cardiology, 124(5), 769-774.
Phillips, L. J., Hsia, R. W., & Aspberg, S. (2019). Interprofessional collaboration and acute kidney injury: The role of pharmacists. American Journal of Kidney Diseases, 74(2), 199-207.
Phillips, P. A., Muirhead, N., & Tait, G. C. (2019). Interprofessional collaboration in the management of acute kidney injury: a systematic review. Journal of Advanced Nursing, 75(4), 771-780.
