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Renal failure Normal kidney function occurs when permanent or temporary kidney damage affects the Kidney failure Can be acute or acquired. Acute renal failure Starts quickly and can reverse and prevent permanent damage. Chronic renal failure Starts slowly and deteriorates in the direction of a specific period of time, at least 3 months. This can lead to permanent renal failure .
Nursing diagnosis for renal failure It helps to recognize both types of conditions, drawings, symptoms of renal failures along with treatment and possibly results.
Diagnosis of renal failure
For a complete diagnosis of renal failure The complete status of the disease is determined by a physical examination. Appropriate investigations are done to determine the following renal failure :
- Blood tests: This is necessary to determine electrolyte levels, blood cell counts, and kidney function.
- Urinalysis: This will certainly help determine kidney function.
- Ultrasound or sonogram: In an ultrasound exam, sound waves are broadcast into the abdomen in the kidney region. These sound waves form an image on the screen and help to qualify the size, shape and any kind of abnormality of the kidney. Any growths, granulomas, cysts or obstructions are more likely to be detected this way.
- Biopsy: A small monster of kidney tissue is taken with a needle or during surgery. This tissue sample is examined under a microscope for abnormalities, especially cancerous tumors or abnormal cells.
- CT: A CT scan is performed using x-rays and a computer to produce images in the form of fine slices of the body. This helps to show a detailed picture of a body part and may be applied to all parts of the body, including bones, fat, and muscle.
Nursing Diagnosis of Acute Renal Failure
When there is a rapid loss of renal function, this is referred to as acute renal failure. renal failure Glomerular filtration rate decreases rapidly as nitrogen and serum nitrogen levels increase. If this is not treated, it can worsen and lead to chronic renal failure .
1. excessive water separation
The primary factor for nursing diagnosis for renal failure It is associated with abnormal kidney function. Signs include. Young urine production, weight gain, edema, agitation, psychological configuration, electrolyte changes, decreased hemoglobin, peculiar urine wave configuration, pulmonary congestion.
Intervention.
- Determine exact fluid and output.
- Check the specific weight of the urine.
- Compare the person daily and at the same time on the same scale.
- Check edema for body parts and degree of edema.
- Check blood characteristics, x-rays, degree of consciousness, and heart rate. 2.
2. risk of decreased cardiac minute volume (RF can include water overload, water shift, and water deficit).
There is an opportunity for water changes to lead to low cardiac output and thus include valid points. the nursing diagnosis for renal failure point of view.
Intervention.
- Check blood pressure and heart rate.
- For changes in heart rate, check the heartbeat.
- Check skin color and nail bed composition.
- Check mineral blood test results and add medications as needed.
3. risk of imbalanced diet: less than body
Dietary restrictions have every opportunity to lead to the lowest number of calories. Protein catabolism may be present, which still leads to malnutrition. Metabolic needs are increased, nausea and vomiting may occur, leading to an imbalanced diet.
Intervention.
- Check food intake and support current intake but accept it.
- Provide small, irregular supplies. This will certainly help overcome nausea and anorexia.
- Give options for all kinds of foods and also water and interest in assembling an interesting and intentional diet.
- Compare and contrast someone on the same scale every day.
- Take a nutritionist on the team and create calorie, small or protein arm meals and maintain electrolyte balance.
4. risk of infection
Risk of infection is increased due to decreased immunologic defense and invasive procedures such as catheterization.
Intervention.
- Maintain good hygiene and ensure that patients adhere to this.
- Use aseptic technique, be aware of invasive procedures if possible, and modify connections according to protocol.
- Assess skin uniformity and control associated symptoms.
- Check WBC counts and take medications as needed.
5. risk of fluid deprivation
Important Criteria. in nursing diagnosis for renal failure Composition of water size. There is water loss and the potential for imbalance due to severe limitation of intake.
Intervention.
- It is very important to measure and label inputs and outputs so that non-sensitive costs are covered.
- Allowed water intake should be distributed within 24 hours and all possible signs and symptoms of dehydration should be tested.
- Check heart rate, blood pressure, and laboratory reports.
6. lack of knowledge
Lack of knowledge means that someone is unable to recall information, misinterpret information, and appears to be unaware of the information given. Drawings are as follows periodic questioning, retrieving information, providing incorrect information, following instructions and other costs accurately.
Intervention.
- Identify diseases and inform patients about inexpensive alternatives such as dialysis or renal transplant.
- Review design diets and dietary restrictions and ensure patients follow them appropriately
- Check weight regularly and measure water intake and delivery.
- Ensure sensory support and discuss the presence of endless lethargy with the patient.
Nurse Diagnosis of Acquired Kidney File
Chronic renal failure Occurs when there is an up-to-date and gradual loss of kidney function. The progression is usually very slow and is only signposted when the kidneys are barely functioning.
1. risk of heartbeat reduction
This can be the result of decreased size of the blood circulation, systemic vascular resistance, and myocardial overload.
Intervention.
- Check for the presence of noncardiac sounds and heartbeats, the presence of edema, respiratory and congestive
- Check for symptoms of hypertension, postural configurations in blood pressure.
- Check for chest pain, assessment of the value of intensity, and response to intensity.
- Can make x-rays of the breast. Footsteps adjust the prediction of blood properties. 2.
2. risk of ineffective protection
An abnormal blood profile, including increased red blood cells, coagulation factor composition, and capillary fragility, may put someone at risk for ineffective defense.
Intervention.
- Review reports of degree of awareness, behavioral configuration, ability to perform tasks, helplessness and lethargy.
- Check the Vena unit website for swelling, bleeding to ensure support if needed.
- Check labeling, report stool control, and give reinforced blood if needed.
3. destroyed thought processes
Inclusion of toxins such as urea in blood can lead to electrolyte imbalance, metabolic acidosis, and brain calibration. Signs include disorientation regarding time, space and people, loss of interest, memory loss, inability to draw conclusions, behavioral constructs, com sleep.
Intervention.
- Discover the amount of interest, the degree of amnesia and orientation.
- Reorient them to live a softer life and meet people.
- Provide information and notes in small, uncomplicated services and speak slowly.
- Ensure that a systematic schedule is followed. Make sure patients get air when they need it and when they need it.
4. risk of skin integrity disorders
Peripheral neuropathy, tissue disease, edema, dehydration, immobility, anemia along with the presence of skin toxins can cause skin integrity.
Intervention.
- Skin should be examined regularly to check for vascularity, turgor, color changes, etc. w.
- Check for the presence of edema, hydration of the skin and mucous membranes. w Apply skin care mitigation methods.
- Replace fitness regularly, moisten bony parts with butler and wear loose cotton clothing.
- Use foam rubber or a floating mattress.
5. risk of destruction of oral mucosa.
This is caused by water restriction, saliva falls out, membranes are chemically destroyed, urea is converted to ammonia in saliva.
Intervention.
- Check the oral cavity for the presence of dryness, inflammation, ulcers and salivary data.
- Water intake should be spread over 24 hours.
- Oral care should be maintained, perhaps using peppermint and chewing gum.
- Dental hygiene must be practiced and encouraged.
- Art saliva can be added if needed.
6. lack of knowledge
Limited cognitive function, inability to recall and misinterpret information. Signs include. Incorrect observations, asks many questions, and fails to follow instructions correctly.
Intervention.
- Check the progression of the disease and explain expectations.
- Table footstep restrictions are strictly followed, including water and sodium intake.
- Phosphorus and magnesium still need to be limited.
- High calories from carbohydrates are recommended.
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