I, Hematuria
Nearly 60～80% of PKD patients has different extent of Microscopic Hematuria,
and some patients may present gross Hematuria. To eliminate small amount of
bleeding through kidney rapidly, patients are advised to drink much water, in
addition to staying in bed. The variation of urine color needs figuring out so
as to judge that Hematuria aggravates or reduces. If PKD patients have obvious
Hematuria, they should stay in bed for a long time. Moreover, hemostatic styptic
should be injected into human body through vein promptly, and blood transfusion
can be conducted if necessary.
II, Perirenal Hematoma
Patients need to stay in bed absolutely after taking Renal Biopsy within
24hrs. To get patients’ cooperation, doctors can inform them of the importance
of staying in bed absolutely and potential complications of severe activities,
in case that patients cannot endure staying in bed. If patients have no gross
Hematuria and stay in bed for 24hrs, they can do some moderate activities
gradually but not increase activities abruptly so as to avoid the secondary
bleeding when the wound does not heal completely. At this moment, patients
should be prohibited to do more exercises and get adequate cares in daily life.
If Perirenal Hematoma is found by Type-B Ultrasound Examination, patients need
to extend the time of staying in bed.
III, Lumbago and waist discomfort
Most of patients have slight ipsilateral lumbago and waist discomfort which
lasts nearly one week usually. In most cases, ordinary painkiller can be given
to moderate the symptoms. PKD patients with Perirenal Hematoma usually suffer
from severe lumbago, in this case, patients can take narcotic analgesic agent to
relieve the pain.
IV, Stomachache and Abdominal Distension
Some individuals feel stomachache after Renal Biopsy, which lasts 1-7 days
usually and small number of patients have pressing pain and rebound tenderness.
Life habit changing, abdominal belt pressing and drinking more water cause
patients to present abdominal distension which does not need special treatment.
Patients with obvious stomachache and abdominal distension can take lactasin or
spasmolytic to relieve the symptoms.
V, Pyrexia
Patients with Perirenal Hematoma may present medium Pyrexia due to Hematoma
absorption. They should be nursed as per fever patients and given proper
medicine for treatment.
For further information about nursing issue about PKD patients, you can email
me at kidney-treatment@hotmail.com. It’s my pleasure to give you professional and
instruction suggestions.
