Care after Native Kidney Biopsies

pollux, RN · Mar 29, 2001

Originally posted by cwitham:
Hi. I am looking for any resources on post-procedure nursing care after native kidney biopsies for the Short-Stay unit in my hospital. Thanks.

Hello, I am a nurse working in pediatric nephrology we are also working in collaboration to the Short Stay unit of our center for some of our renal biopsy.

We basically keep them in bed from the time of the biopsy until the next morning.

We verify the urine for hematuria. If the first two have no gross hematuria then we allow

BRP. In any case of gross hematuria, we do a CBC and we collect the urine for visual evaluation. Of course in any case of a significant change in the BP or the HR we will also repeat do the CBC and call the nephrologist. Our pt have an IV at maintenance post procedure that will be

heplock as soon as the pt can drink on his own . For pain management, we offer codeine and tylenol and if the pain remains ( which is quite rare) we will give morphine.But to be honest, this is only required when pts have a bad hematoma.

We will also monitor the saturation if the pt is still under the effect of the midazolam on arrival to the unit. I might be forgetting something but I hope this was helpful. Good luck with your search.