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    NCP of Chronic Renal Failure

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    Elusive
    1. The nursing care plan summarizes the assessment, diagnosis, planning, interventions, and evaluation for a patient with chronic renal failure experiencing fluid volume excess due to decreased glomerular filtration rate and sodium retention. 2. Short term interventions include establishing rapport, monitoring vital signs and fluid intake/output, assessing risk factors and weight changes, and auscultating breath sounds. 3. Long term goals are for the patient to stabilize fluid volume through balanced fluid intake/output and demonstrate normal vital signs, stable weight, and absence of edema over 3 days.

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    NCP of Chronic Renal Failure

    Uploaded by

    Elusive
    122 views2 pages
    1. The nursing care plan summarizes the assessment, diagnosis, planning, interventions, and evaluation for a patient with chronic renal failure experiencing fluid volume excess due to decreased glomerular filtration rate and sodium retention. 2. Short term interventions include establishing rapport, monitoring vital signs and fluid intake/output, assessing risk factors and weight changes, and auscultating breath sounds. 3. Long term goals are for the patient to stabilize fluid volume through balanced fluid intake/output and demonstrate normal vital signs, stable weight, and absence of edema over 3 days.

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    Nursing care plan of chronic renal failure

    Original Title

    NCP of chronic renal failure

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    1. The nursing care plan summarizes the assessment, diagnosis, planning, interventions, and evaluation for a patient with chronic renal failure experiencing fluid volume excess due to decreased glomerular filtration rate and sodium retention. 2. Short term interventions include establishing rapport, monitoring vital signs and fluid intake/output, assessing risk factors and weight changes, and auscultating breath sounds. 3. Long term goals are for the patient to stabilize fluid volume through balanced fluid intake/output and demonstrate normal vital signs, stable weight, and absence of edema over 3 days.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    122 views2 pages

    NCP of Chronic Renal Failure

    Uploaded by

    Elusive
    1. The nursing care plan summarizes the assessment, diagnosis, planning, interventions, and evaluation for a patient with chronic renal failure experiencing fluid volume excess due to decreased glomerular filtration rate and sodium retention. 2. Short term interventions include establishing rapport, monitoring vital signs and fluid intake/output, assessing risk factors and weight changes, and auscultating breath sounds. 3. Long term goals are for the patient to stabilize fluid volume through balanced fluid intake/output and demonstrate normal vital signs, stable weight, and absence of edema over 3 days.

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    Nursing care plan of chronic renal failure

    Assessment Nursing planning interventions Rationale Evaluation


    diagnosis
    Subjective: Fluid Short term: 1. Establish 1. To assess Short term:
    Patient is not able to volume After 4-8 rapport precipitating The patient shall
    verbalize excess R/T hours of and have
    decrease nursing 2. Monitor and causative demonstrated
    Objective: glomerular interventions, record vital factors. Behaviors to
    Patient my manifest: filtration patient will signs monitor fluid
    • Edema rate and demonstrate 2. To obtain status and
    • Hypertension sodium behaviors to 3. Assess baseline reduce
    • Weight gain retention monitor fluid possible risk data recurrence of
    • Pulmonary status and factors fluid excess
    congestion (SOB, reduce 3. To obtain
    DOB) recurrence of 4. Assess baseline Long term:
    • Oliguria fluid excess patient's data The patient shall
    • Distended jugular appetite have manifested
    vein 4. To prevent stabilized fluid
    • Changes in mental Long term: 5. Note fluid volume AEB
    status After 3 days amount/rate overload balance I & O,
    of nursing of fluid and monitor normal VS,
    interventions intake from intake and stable weight,
    the patient all sources output and free from
    will manifest signs of edema.
    stabilize fluid 6. Compare 5. To monitor
    volume AEB current fluid
    balance I & weight gain retention
    O, normal VS, with and
    stable admission or evaluate
    weight, and previous degree of
    free from stated excess
    signs of weight
    edema. 6. For
    7. Auscultate presence of
    breath crackles of
    sounds congestion

    8. Record 7. To evaluate
    occurrence degree of
    of dyspnea excess

    9. Note 8. To
    presence of determine
    edema fluid
    retention
    10. Measure
    abdominal 9. May
    girth for indicate
    changes increase in
    fluid
    retention
    11. Evaluate
    mentation 10. May
    for indicate
    confusion cerebral
    and edema
    personality
    changes 11. To evaluate
    degree of
    12. Observe skin fluid excess
    mucous
    membrane 12. To prevent
    pressure
    13. Change ulcers
    position of
    client timely 13. To monitor
    fluid and
    14. Review lab electrolyte
    data like imbalances
    BUN,
    creatinine 14. To lessen
    serum fluid
    electrolyte retention
    and
    15. Restrict overload
    sodium and
    fluid intake 15. To monitor
    if indicated kidney
    function and
    16. Record I & O fluid
    accurately retention
    and
    calculate 16. Weight gain
    fluid volume indicates
    balance fluid
    retention or
    17. Weight edema
    client
    17. Weight gain
    18. Encourage may
    quiet, restful indicate
    atmosphere fluid
    retention
    19. Promote and edema
    overall
    health 18. To conserve
    measure energy and
    lower tissue
    oxygen
    demand

    19. To promote
    wellness

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