Introduction: Renal Failure is a pathology that affects about 10% of the world population, which has the possibility of treatment, in the most serious cases, renal replacement therapy (RRT). The main evidence of care in the Intensive Care Unit is fundamental for safe and effective performance Methodology: integrative review formulated through research in original articles using the PICO method, the research took place from May to July 2021 using the following descriptors: Renal Failure, Care of Nursing and Intensive Care Unit in the following databases: Latin American and Caribbean Literature on Health Sciences Information (LILACS), Virtual Health Library (BVS), Scientific Electronic Library Online (SciELO) and BDENF respecting the limits for publication between 2016 and 2021. Results: Nursing actions are guidelines regarding food balance and fluid intake, management of intradialytic complications and their prevention, such as monitoring signs of acceleration, administration of anticoagulants, antiemetics, saline solution acid-base control and access route maintenance. Conclusion: The use of care protocols and in this environment streamlines the work of the professional nurse in managing the intradialytic occurrence, continuing education and offering training are essential for adequate care.