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