Kidney's Role in Homeostasis-Chief medical Diagnosis- Kidney Failure

Kidney's Role in Homeostasis-Chief medical Diagnosis- Kidney Failure da 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