Table 2.

Acute kidney injury requiring dialysis and acute kidney disease requiring dialysis kidney health care bundle

WATCH-ME	Components
Weight Assessment	Discuss Dry Weight monitoring and permissive hypervolemia Discuss the role of diuretics in maintaining urine output and ideal volume status
Access	Educate patients about the care of central venous catheters Vein preservation protocols AND awareness When appropriate, begin to plan and educate about the role of arteriovenous access and other RRT modalities
Teaching	Patient and Caregiver education about dialysis requiring acute kidney disease and short- and long-term risks and consequence Communication with other care providers (e.g., general practitioners, dietitians, nurses, pharmacists, and social workers) about patient needs (e.g., alterations in medication regimens in the setting of new RRT).
Clearance	Frequent assessments of underlying kidney function (through predialysis laboratory values or timed clearances) Frequent assessments of the quality of the RRT being provided to ensure adequate clearance
Hypotension	Patient education and optimization of care to avoid intradialytic about hypotension Education regarding blood pressure medication administration in peri-RRT period
Medications	Medication reconciliation, review, and management Specifically, discuss risk benefits of angiotensin-converting enzyme inhibitors and angiotensin receptor blockers Review kidney-excreted and nephrotoxic drugs and over-the-counter medications

RRT, renal replacement therapy.