Which precaution is advised for patients with stage 4-5 CKD?

For patients with stage 4-5 chronic kidney disease (CKD), wearing a Medic Alert bracelet is advised to communicate critical health information, especially regarding their kidney condition and the importance of avoiding certain vascular access points. This precaution is essential because individuals with advanced CKD often require specific and careful medical treatment, such as dialysis, which may involve the use of certain blood vessels for access.

Using a Medic Alert bracelet ensures that in an emergency situation, healthcare providers are immediately informed of the patient's condition, which can be crucial for appropriate and timely treatment. In particular, it helps to prevent complications that could arise from inappropriate venous access, thereby protecting the patient's remaining kidney function and overall health.

In contrast, other options may not serve the same critical protective role for these patients. For example, encouraging increased fluid intake can be risky for those in stage 4-5 CKD due to the risk of fluid overload and other complications. Similarly, while procedures like venous catheter placement and AV graft implantation are common in managing patients on dialysis, they are not inherent precautions that would be advised universally for all patients at this stage without a tailored assessment of their specific medical situation.