Renal Failure: Nursing Care Plan and Goals

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Problem #1 A man presents to the clinic with complaints of asthenia, malaise, headache, weight gain, and a decrease in urination. A tentative diagnosis of acute renal failure is made. Acute renal failure is a steady and fast deterioration of the functioning of the kidneys. This happens when there is a high level of the waste from the kidneys is left unattended. Acute renal failure occurs when the kidney fails to push out the waste or the everyday toxins out of the body in the form of urine. Simply put the kidneys have stopped working, they have lost their ability to filter water and waste from the blood. The kidneys remove the waste products help balance salt, water, and other minerals in our blood. With acute renal failure the kidneys lose the ability to remove waste and concentrate urine without losing electrolytes. Acute renal failure is classified as: Pre Renal this occurs as a result of renal hypo perfusion, or as a result from a condition that diminishes blood flow to the kidneys. Intra Renal results from damage to the kidneys, usually from acute tubular necrosis. Post Renal (obstructive) is a result from bilateral obstruction of urine flow. The most common cause of obstructive uropathy in men is prostate. There are several diagnostic test or evaluations done to prognosis acute renal failure. These are: 1. Arterial blood gases (ABG) analysis, which shows metabolic acidosis. 2. Urine, Pre Renal has decreased PH, urine sodium, oliguria, increased specific gravity, normal creatinine and sediment. Renal has decreased specific gravity, increased urine sodium and creatinine, sediment contains cast. Post Renal has normal specific gravity, urine sodium and creatinine, sediment normal or hematuria possible. 3. Blood chemis... ... middle of paper ... ...ine to pump blood out of the body through an artificial kidney that filters out waste then returns it to the body. A kidney transplant requires surgery, it takes a healthy kidney from a donor and places it into the patient with renal failure. If the operation is successful the patient must take medication for life to avoid rejection of the new kidney. My nursing care plan and goals include: 1. Maintaining and stabilizing fluid/electrolyte balance. 2. Complications are prevented or minimized. 3. Disease process/prognosis and therapeutic regimen is understood by patient and family. 4. Helping the patient with dealing realistically with situation; initiating necessary lifestyle changes. 5. Offer numbers or pamphlets for a support group. 6. Put a plan into place to meet needs after discharge. Works Cited,,

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