What are the nursing priorities to stop Marnie progressing into AKI and renal failure?

Acute Kidney Injury (AKI) and renal failure are serious conditions that require immediate medical attention. As a nurse, there are several priorities to prevent a patient like Marnie from progressing into these conditions:

1. Monitor Vital Signs: Regularly check Marnie's blood pressure, heart rate, and respiratory rate. Any abnormalities could indicate worsening kidney function.

2. Assess Urine Output: Keep track of Marnie's urine output. Decreased urine output can be a sign of kidney problems.

3. Fluid Balance: Ensure Marnie is adequately hydrated but avoid fluid overload which can worsen kidney function.

4. Medication Review: Review all of Marnie's medications. Some medications can cause or worsen kidney problems.

5. Monitor Lab Values: Regularly check Marnie's blood for elevated levels of waste products like creatinine and urea, which can indicate kidney problems.

6. Patient Education: Educate Marnie about the importance of maintaining a healthy lifestyle, including a balanced diet and regular exercise, to prevent kidney problems.

7. Early Referral: If there are signs of AKI, refer Marnie to a nephrologist (kidney specialist) as soon as possible for further evaluation and treatment.

8. Prevent Infections: Infections can cause or worsen AKI. Ensure Marnie's environment is clean, and she is following good hygiene practices.

Remember, early detection and intervention are key to preventing the progression of AKI and renal failure.