What 1.) kind of nursing interventions can be used to treat a patient with chronic renal
failure?
- Daily weight
- Measure I&O
- Check skin turgor and presence of edema
- Distention of neck veins
- Monitor blood pressure, pulse rate, and rhythm
- Limit fluid intake to a prescribed volume
- Assess patients dietary patterns and sources of fluid
- Monitor lab values(BUN, creatinine, serum potassium levels, )
2.) What are the clinical manifestations of ARF (acute renal failure)?
-elevated creatinine/bun
Uremic encephalopathy
Anemia
Platelet acidosis dysfunction
Metabolic (kussmauls respirations)
Susceptibility to infection
Impaired wound healing
Fluid and electrolyte imbalance
-fluid overload
-elevated BP
-pulmonary crackles
-JVD
-edema
-hyperkalemia
-hyponatremia
-anorexia n/v
Sudden drop in output
3. )What are the 4 phases of Acute Renal Failure?
1. Initiation period
2. Oliguria-anuric phase
- Urine output <400 cc/hr
- Anuria <50 cc/day
3. Diuretic phase
- Urine output >400 cc/hr
4. Convalescent (recovery) phase
- Urine output gradually return to normal