1. Hypertension related to Chronic Kidney Disease
1.1. Nursing Diagnosis
1.1.1. 1.Imbalanced Nutrition
1.1.1.1. Nausea & Vomitting
1.1.1.1.1. Nauseated at least once a meal
1.1.1.2. Loss of Appetite
1.1.1.2.1. does not enjoy eating the food he/she use too
1.1.1.3. Weight Loss
1.1.1.3.1. lost 10lbs over 1 month
1.1.2. 2. Grief
1.1.2.1. Explore coping strategies & support groups for CKD
1.1.3. 3. Activity Intolerance
1.1.3.1. Prolonged Fatigue
1.1.3.1.1. Sleeps more than 10hours a day
1.1.3.2. Tachycardia
1.1.3.2.1. HR >112
1.1.3.3. shortness of breath
1.1.3.3.1. Respirations >26 on exertion
1.1.4. 4. Impaired Skin Integrity
1.1.4.1. pruritus
1.1.4.1.1. Many areas of excoriation legs & arms
1.1.4.2. dry skin
1.1.4.2.1. Flaky skin, thin, shiny, brusing
1.1.4.3. edema
1.1.4.3.1. Pitting edema +2 at the ankles
2. Priority Assessments
2.1. Blood pressure recordings
2.1.1. Assessment: Blood Pressure Values 181/90
2.1.2. Nursing Diagnosis: Headache, dizziness, edema
2.1.3. Planning: Involve pharmacist & primary physician for medication management of hypertension
2.1.4. Implementation: Implement a plan for appropriate medication administration times
2.1.5. Evaluation: Record BP levels daily
2.2. Patients level of understanding of Medication Condition
2.2.1. Assessment: Assess what the patient already knows about CKD & Hypertension
2.2.2. Plan an educational session
2.2.3. Implement a plan for management of CKD & Hypertesion
2.2.4. Evaluate if their are barriers to achieving goals of CKD & hypertension management