Renal Failure
Care Plan for Renal Failure Management
Category / Primary Body System
- Renal/Urological System
Problem
- Patient is at risk for complications due to renal failure.
Goal
- Patient will not have complications for 90 days.
Plan/Approach
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Laboratory Monitoring
- Draw labs as ordered, monitor results, and report to the attending physician to track renal function and electrolyte levels.
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Medication Management
- Administer medication for electrolyte imbalance, particularly for hyperkalemia. Monitor for symptoms such as initial tachycardia and bradycardia, ectopic beats, hypertension, nausea, explosive diarrhea, muscle weakness, and muscle cramps.
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Seizure Monitoring
- Monitor closely for seizures, as they are common in patients with renal failure.
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Dietary Consultation
- Consult with a dietician for diet modification as needed to support renal function and overall health.
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Bowel Management
- Use stool softeners and fiber to avoid constipation, which can be a complication of renal failure.
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Rest and Weight Monitoring
- Provide adequate rest to help manage fatigue and overall health.
- Monitor weight weekly, notifying MD/RNP of any upward or downward trends.
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Vital Signs Monitoring
- Monitor vital signs regularly to detect any changes that may indicate complications.
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Emotional Support and Education
- Provide emotional support and education to the patient and family regarding the diagnosis, treatment plan, and lifestyle adjustments.
Rationale
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Laboratory Monitoring
- Regular lab tests help in early detection of imbalances and renal function deterioration, allowing timely interventions.
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Medication Management
- Proper medication management prevents complications like hyperkalemia, which can have severe cardiac consequences.
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Seizure Monitoring
- Seizures are a serious complication of renal failure and require immediate attention to prevent further harm.
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Dietary Consultation
- Diet modification is crucial for managing renal failure and preventing further complications.
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Bowel Management
- Constipation can worsen the patient's condition and is preventable with proper bowel management strategies.
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Rest and Weight Monitoring
- Adequate rest helps in managing symptoms, and weight monitoring can indicate fluid retention or loss, providing crucial information for managing the patient's condition.
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Vital Signs Monitoring
- Monitoring vital signs helps detect early signs of complications, allowing for prompt intervention.
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Emotional Support and Education
- Providing support and education helps the patient and family cope with the diagnosis, adhere to the treatment plan, and make necessary lifestyle adjustments.
Actions
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Laboratory Monitoring
- Draw and monitor lab results regularly, including electrolytes, BUN, creatinine, and report significant changes to the physician.
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Medication Management
- Administer prescribed medications for electrolyte imbalance and monitor for side effects and symptoms of hyperkalemia.
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Seizure Monitoring
- Observe the patient for any signs of seizures and take immediate action if they occur.
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Dietary Consultation
- Schedule and follow up on dietician consultations to ensure dietary needs are met.
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Bowel Management
- Administer stool softeners and ensure the patient has adequate fiber intake to prevent constipation.
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Rest and Weight Monitoring
- Ensure the patient gets adequate rest and record weekly weights, reporting any significant changes to the physician.
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Vital Signs Monitoring
- Check and document vital signs regularly, reporting any significant changes.
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Emotional Support and Education
- Provide emotional support through counseling and educate the patient and family about renal failure, its management, and the importance of adherence to the care plan.
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