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.