Nursing Diagnosis: Chronic Kidney Failure
Nursing Diagnosis #1 Analysis.
This is an 89 year old male who recently admitted to the hospital after complaints of persistent diarrhea with history of recurrent Clostridium difficile. He stated that he has had a bout of diarrhea that has been unresolved after completing a round of vancomycin and has recently lost an excess of 5 pounds. Dehydration was initially treated with intravenous fluids. However, it was discovered that he was in acute kidney failure and was diagnosed with acute kidney injury. His dehydration is due to fluid loss from diarrhea causing low circulating volume, however because his renal function is impaired he is retaining fluid in his interstitial tissues, thus resulting in retention of excess fluid.
Diagnosis. …show more content…
Oxygen via nasal cannula at 2L as ordered. Supplemental oxygen may be necessary until the client’s condition improves.
2. Administer metoprolol as ordered to prevent episodes of hypertension.
Teach
1. Review dietary restrictions and safe substitutions. Avoid salty foods since they increase thirst and fluid retention.
2. Discuss fluid restriction. Use a small glass and suck on ice chips or hard candy to curb thirst and prevent dry mouth.
3. Instruct the client to keep an accurate log of fluid intake throughout the day to ensure an accurate measure of daily fluid intake.
Implementation
Implementation of the plan include a complete head to toe assessment, monitoring vital signs and oxygen saturation, monitoring intake and output and daily weights, following a fluid restriction, monitoring lab values and administering medications as ordered.
Evaluation
The goal for this client is to stabilize his fluid imbalance. Currently, the client has an elevated BUN and creatinine which is indicative of his acute kidney injury. He will continue with a fluid restriction and his kidney function will be monitored. He will see wound care regarding the wounds on his extremities. As his fluid imbalance improves the edema will decrease and the weeping will
This is an 89 year old male who recently admitted to the hospital after complaints of persistent diarrhea with history of recurrent Clostridium difficile. He stated that he has had a bout of diarrhea that has been unresolved after completing a round of vancomycin and has recently lost an excess of 5 pounds. Dehydration was initially treated with intravenous fluids. However, it was discovered that he was in acute kidney failure and was diagnosed with acute kidney injury. His dehydration is due to fluid loss from diarrhea causing low circulating volume, however because his renal function is impaired he is retaining fluid in his interstitial tissues, thus resulting in retention of excess fluid.
Diagnosis. …show more content…
Oxygen via nasal cannula at 2L as ordered. Supplemental oxygen may be necessary until the client’s condition improves.
2. Administer metoprolol as ordered to prevent episodes of hypertension.
Teach
1. Review dietary restrictions and safe substitutions. Avoid salty foods since they increase thirst and fluid retention.
2. Discuss fluid restriction. Use a small glass and suck on ice chips or hard candy to curb thirst and prevent dry mouth.
3. Instruct the client to keep an accurate log of fluid intake throughout the day to ensure an accurate measure of daily fluid intake.
Implementation
Implementation of the plan include a complete head to toe assessment, monitoring vital signs and oxygen saturation, monitoring intake and output and daily weights, following a fluid restriction, monitoring lab values and administering medications as ordered.
Evaluation
The goal for this client is to stabilize his fluid imbalance. Currently, the client has an elevated BUN and creatinine which is indicative of his acute kidney injury. He will continue with a fluid restriction and his kidney function will be monitored. He will see wound care regarding the wounds on his extremities. As his fluid imbalance improves the edema will decrease and the weeping will