Docstoc

Caring for patient With Acute Kidney failure as a Nurse

Document Sample
Caring for patient With Acute Kidney failure as a Nurse Powered By Docstoc
					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.

				
DOCUMENT INFO
Shared By:
Categories:
Stats:
views:31
posted:3/31/2011
language:English
pages:3
Description: Caring for patient With Acute Kidney failure as a Nurse