Potential Complications and risk factors
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Hypertension
Diabetes
Family history of renal failure
Old age
Fluid retention
Hyperkalemia
Anemia
Decreased sex drive
Irreversible kidney damage
Nursing Diagnoses
Excess fluid volume
Electrolyte imbalance
Risk for imbalanced nutrition, less than body requirements
Risk for infection
Risk for decreased cardiac output
Deficient knowledge
Nursing/Multidisciplinary Interventions
Acute renal failure nursing/interdisciplinary intervention
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Monitor intake and output
Observe for oliguria followed by polyuria
Daily weight
Monitor for signs and symptoms of electrolyte imbalance
Encourage patient to restrict potassium
Dialysis
Chronic renal failure interventions
-
Provide Renal Diet
Restrict fluid as prescribed
Provide electrolyte replacement or restriction
Monitor and plan nursing care for hypertension and heart failure
Prepare client for dialysis or kidney transplant
Monitor I&O and vital signs
Administer medication with caution
(“39 Chronic Kidney Disease Diet Info Ideas | Kidney
Disease Diet, Chronic Kidney Disease Diet, Chronic
Kidney Disease,” n.d.)
Dialysis
Used to filter the blood to remove wastes and excess fluid
Hemodialysis
(“Hemodialysis - MedBroadcast.com,” n.d.)
Peritoneal Dialysis
(NIDDK, 2019)
Patient teaching
-
Teach client to monitor weight and VS daily
Report signs and symptoms of complications such as fluid volume
overload, Hyperkalemia
Instruct client that recovery of renal function could take up to one year
Instruct client to avoid nephrotoxic drugs: NSAID, some antibiotics,
contrast media
Instruct client that they will need dialysis for life or transplant if they have
end stage kidney disease
Instruct client to stop smoking
Instruct client to take medications as prescribed