Kidney's Role in Homeostasis-Chief medical Diagnosis- Kidney Failure
by Sivagamy Gnanasegar
1. Nursing Diagnosis:-Fluid Volume excess related to decrease glomerular filtration rate and sodium retention.
2. Nursing Diagnosis:-Impaired urinary elimination related to failing glomerular malfunction
3. -Edema -Hypertension -Weight gain -Oliguria -Distended jugular vein -Changes in mental -status -pulmonary congestion
4. Assessment- Edema -Hypertension -Weight gain -Shortness of breath -Oliguria -Distended jugular vein -Changes in mental status
5. Assessment-Increase BUN, Creatinine and Uric acid. -Oliguria -Anuria -Hesitancy -Urinary retension
6. Limit sodium intake
7. Monitor fluid intake
8. Admininister Diueretics as prescribed
9. Elevate edematus extremities
10. Monitor vital signs
11. palpate bladder
12. Monitor fluid intake and out put
13. Pain assessment/ observe for signs of infection
14. Maintain Hygene
15. Nursing Intervention
16. Nursing Intervention
17. Weigh daily
18. Sivagamy Gnanasegar Nephrology Nursing 510 Humber College Janett Black October 16, 2017.
19. Nursing Diagnosis:-Altered Renal Perfusion related to glomerular mal function
20. Nursing Diagnosis:-Altered Nutrition less than body requirements related to catabolic state,anorexia and malnutrition.
21. Assessment-Increase BUN, Creatinine, uric acid -Oliguria -Anuria -Edema -Pulmonary congestion -Hypertension -Hematuria
22. Assessment-Anorexia Anemia Fatigue Inadequate food intake
23. Monitor urine output
24. Administer IV fluid as ordered
25. Observe urine characteristic and specific gravity
26. Monitor Blood Pressure
27. weigh daily
28. Assess general appearance
29. Review lab values
30. weigh daily
31. Provide diet modification
32. Avoid sodium rich food
33. Provide oral care
34. nursing intervention
35. Nursing intervention
