Nursing Management : Kidney Disease
Nursing Management
- Nursing Assessment
- History and Past family medical history
- Current and past use of prescriptions and over-the-counter drugs and herbal preparations
- Many drugs are potentially nephrotoxic
- Assess the patient’s dietary habits
- Assess the patient’s support system
- Nursing Diagnoses
- Excess fluid volume related to impaired kidney function
- Risk for electrolyte imbalance related to impaired kidney function resulting in hyperkalemia, hypocalcemia, hyperphosphatemia, and altered vitamin D metabolism
- Imbalanced nutrition: less than body requirements related to restricted intake of nutrients (especially protein), nausea, vomiting, anorexia, and stomatitis
- Nursing Planning
- The overall goals are that a patient with CKD will
- Demonstrate knowledge of and ability to comply with the therapeutic regimen
- Participate in decision making for the plan of care and future treatment modality
- Demonstrate effective coping strategies
- Continue with activities of daily living within physiologic limitations.
- The overall goals are that a patient with CKD will