Out Notes Chronic Kidney Disease Related Exemplars Related Concepts Chronic renal failure (CRF) Fluid /Electrolyte Imbalance End stage renal disease (ESRD) Actd-base Imbalance Classroom Critical Thinking Reading / Resources Critical Thinking Maintain fluid and electrolytey Rak for stresy ulcery and GI balance, espectally K, Nay Cay bleeding Phoe Tired, depressed, fatiguer, sleepy Assess dialysiy catheter, brut alot “tied to dialysix machine” and thrall which impacts lifestyle Hold medications before dialysis; Anemic requiring frequent not insulin. blood transfusions: Poor calcium absorption (lack Frequent readmission for Vit. D) leads to-poor bones, risk of || unbalancey and infectiony fracturey Uremic pruvitiy with ski HTN and edemadue to renin, breakdown angiotensin, aldoxterone problems Anemic fronv lack of erythropotetw Priority Assessments Priority Labs ‘Nursing Interventions 1 Fluid Statuy 1 Potassiaw 1 Daily weighty, I/O 2 Electrolytey 2 He i 2 Ase lung sounds 3 Dialyyiy Catheter 3 ABGy Protect fistual Priority Potential Complications 1 CHF, Pulmonary Edema Cardiac Dysrhythmiay 2 Bleeding Priority Discharge Goals 1 Report shortness of breath Follow renal diet av directed 2 Take medication, ay directed 3 cpg 2 nee we gan NureeThinkecom Learn Right the Fest Time 113Qyuse Notes Chronic Kidney Disease NurseThink Quick Chronic Renal Failure: Causes Glad re: Symptoms/Signs Shop Get Vinny Prepared, He's Not Mak G- Glomerulonepaitis ing Big Pee U=Lupus = Gimotiity A Analgesics V—Vomiting = Cardiopulmonary popakes > Prartus Vitamin O loss H- Headache E- Electrlyte imbalance 5- Systemic vascular disease N-Nausea F_Feverous infections H- Hypertension| M- Malaise G~Gldlsturbances ©- Obstruction 3 Breathlessness P-Polyeystic kidney disease P- Pigmentation ‘CARE ACCORDING TO THE NCLEX* TEST PLAN Sate and Effective Care: Management of Care, Coordinated Care, Safety and Infection Control Risks for infection, fall, collaborate care with dialysis nurse Health Promotion and Maintenance Renal diet critical to health maintenance, appetite poor Psychosocial Integrity Depression, lifestyle change, impaired family coping Physiological Integrity: Basic Care ane Comfort; Pharmacological and Parenteral Therapies; Reduction of Risk Potential and Physiological Adaptation Comfort for skin orientation, multiple meds, Risk for injury CARE ACCORDING TO QUALITY AND SAFETY STANDARDS Patient-Centered Care Emotional support, allow selj-care, teaching needed Teamwork and Collaboration Coflaboration with dialysis, dietary and social service Evidence-based Practice Sf progression of kidney failure by avoiding nephrotoxic| medications, maintaining fluid status and blood pressure Quality improvement Prevent hospital acquired problems with bed alarms, and infection control standards Safety assist with activity, follow ene and (identifiers Informatics Monitor weight changes, vital signs and record Buddy Review: Faculty Review: Quizi | Quiz 2 | ouiz Quiz 4 67% 77% 4 2% Caps 2 sane we agree NureeThinkecom Learn Right the Fest Time 14