Contemporary Nursing

Stage 5 chronic kidney disease refers to the fifth stage of chronic kidney disease, which is the terminal stage of renal failure[1]. Compared with ordinary people, stage 5 chronic kidney disease indicates a severely damaged condition where patients rely on renal replacement therapy to maintain life[2]. This article summarizes the perioperative nursing experience of a patient with stage 5 chronic kidney disease complicated by left femoral artery stenting who underwent allogeneic kidney transplantation. The nursing staff adopted a nursing process that included optimizing respiratory function, stratified care of vascular access, fluid balance management, full-process infection control, individualized comfort care, medication safety care, and complication prevention. Under meticulous care, the patient was successfully weaned off the ventilator and extubated, with stable fluid balance and no complications. The patient's condition was stable and they were transferred back to the specialized ward. This case provides a practical reference for the postoperative care of patients with stage 5 chronic kidney disease complicated by peripheral vascular disease.

Stage 5 chronic kidney disease; Renal failure; Nursing care