Concept Map

Renal Failure

Patients
Profile

65 yrs.
Old
Indian
Americ
an
6 feet
and 2
inches
Weigh

Anthros
Weight: 220
lb

Medical

Laboratory

Encephalopat
hy

Hemoglobin
(LOW)
Hematocrit
(LOW)
Albumin(2.5
mg/dl)
Glucose(160
mg/100 mg)
BUN ( Slight
Elevated)
Creatinine( Sligh
t Elevated)
Serum
Ammonia(Slight

Renal Failure
Liver Failure
Meds
Ferrous
Sulfate
Glynase
Lactulose

Diet
Low purine diet
Decrease Fluid
intake from
3,000 mL to
2,000 mL
2,500 Kcal diet
CHO: 380 g
CHON: 83g
Fat: 72g

Ht: 62

Nutritional Diagnosis
Renal Failure
Liver Failure

Treatment

Plan Recommended
Decrease fluid intake to 2,000
ml.
Regular intake of meds
Give low purine and low
sodium diet
2,500 Kcal Diet order

Monitoring Concern
Monitor weight every 2
weeks

Follow-Up Goals
Maintain weight

Monitor fluid intake

Monitor medication intake
Monitor 2,500 kcal diet
Monitor Lab results

Maintain diet
Normalize Lab Results
Maintain Fluid intake