Caring for patient With Acute Kidney failure as a Nurse Acute kidney failure is a reversible kidney disease. In this disease, the kidneys are not capable of removing waste products from the body. This leads to accumulation of toxic substances in the blood. Nursing interventions for this disease re focused on maintaining fluid balance, preventing infection and maintaining proper nutrition. Instructions 1 Monitor your patients fluid intake and output. This will let you know if he is retaining fluids or excreting too much fluids. It also lets you know if your patient is getting enough fluids. Additionally, weigh your patient on a daily basis, in the same clothes and at the same time of day to check on his fluid status. Based on your findings, adjust his fluid intake to make sure he is not being overloaded with fluids or dehydrated. 2 Monitor your patient for electrolyte imbalances. In acute kidney failure, electrolytes can be lost in urine or overly retained. As a result, the patient with kidney failure may experience heart related disturbances. Administer nutritional supplements as prescribed to restore balance in the electrolyte system. 3 Give small frequent feedings and make the food look appetizing to your patient. Work with a dietician to determine how much protein your patient can have since the body breaks them down to metabolites that cannot be excreted by the kidneys. Offer your patient high carbohydrate foods and low protein foods. 4 Assess your patient for anemia. Look at his lab reports to see if he or she has red blood cells within the normal limits. A patient with acute kidney failure is at risk for developing anemia because the enzyme that make red blood cells called erythropoetin is absent. Therefore, the patient has to be monitored closely to prevent hypoxia or lack of oxygen in the blood. 5 Administer treatment for anemia. Give blood or oxygen as prescribed by the physician. Also, administer Epogen as prescribed to stimulate the bone marrows to start producing red blood celle.