Tuesday, November 1, 2011

Nursing Diagnoses in Clients With Chronic Kidney Desease


Nursing Diagnoses of Chronic Kidney Desease
According to Brunner and Suddarth (2002) and Marilin E, Doenges (2002) are as follows:

  1. Excess fluid volume associated with decreased urine output, excessive dietary sodium and fluid retention as well.
  2. Changes in nutrition less than body requirements related to anorexia, nausea, vomiting, diet restriction and changes in oral mucous membranes.
  3. Lack of knowledge about the condition and treatment programs associated with less information.
  4. Activity intolerance related to fatigue, anemia, retention of waste products and dialysis procedures.
  5. Impaired self-esteem associated with changes in the role of dependence
  6. High risk for decreased cardiac output associated with fluid imbalance affects circulating volume, myocardial work and systemic vascular resistance, frequency interference, rhythm, cardiac conduction, electrolyte imbalance, hypoxia), accumulation of toxins (urea) classification of soft tissue.
  7. High risk of injury associated with suppression of production / secretion eritropoitin / decrease in production and human life clotting factor disorders increased capillary fragility.
  8. Thought process changes associated with physiological changes, accumulation of toxins metabolic acidosis, electrolyte imbalance, metabolic classification in the brain.
  9. High risk to damage the integrity of biscuits associated with impaired metabolic status, anemia with ischemic tissue circulation and sensation (peripheral neuropathy), disorders of the skin turgor injuries / dehydration) decrease the activity / metabolized accumulated toxins in the skin.
  10. High risk of oral mucous membrane changes associated with less / decrease in saliva, fluid restriction, chemical irritants, changes in salivary urea into ammonia.

No comments:

Post a Comment