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Management of Pediatric Patients With Chronic Kidney Disease
Deborah Miller
Dina MacDonald

Chronic kidney disease in children is associated with complications that require nursing interventions in both the inpatient and outpatient settings. Given the progressive nature of the disease and the complexity of the treatment regimen, it is important that nurses be comfortable implementing acute and preventive care strategies and facilitating the coordination of care. In addition, the need for multiple therapies can be distressing for patients and their families, further supporting the role of the nurse in patient and family education and decision making regarding the plan of care. In this review, we discuss the pertinent issues of pediatric chronic kidney disease in the context of a case study to promote better understanding of real-world nursing practice.



Deborah Miller, MSN, RN, CNN, is Clinical Nurse Specialist, Pediatric Nephrology, Inova Fairfax Hospital/Pediatric Specialty Clinics, Falls Church, VA.

Dina MacDonald, BSN, RN, CNN, is Clinical Nephrology and Renal Transplant Coordinator, UCSD Medical Center/Children’s Hospital, San Diego, CA.





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