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.