Patient X, 45 years old diagnosed with End Stage Renal Disease presents the following

signs and symptoms:

- Easy fatigability -Decreased Urine output - Muscle cramps
(Dialysis)
- Episodes of fainting - Serum Creatinine: 1,037mg/dL -Hemoglobin:
Requires nsg diagnosis
10g/dL
DIALYSIS
-Increased BP: 170/110 -Weight: Pre: Post: ESRD
Requires nsg Outcomes shown Requires nsg
interventions improvements in interventions
Fluid and Assess Fluid
Fluid VOLUME deficit

Assess Fluid

Fluid Volume
Electrolyte Status, Weigh
Status Daily

EXCESS
Balance
Maximized
Give fluid as
Limit fluid & Na
pres.
intake
Weigh Before BP
and after the Stabilization Monitor BP
procedure

Hypertension
Anti
Assess the Hypertensive
machine; Drugs
presents of
COMPLICATIONS

bubbles Asses
PAIN and other

Aseptic Further contributing fx

Techniques Complications
Prevented
Massaging;relax Promote
ation techniques independence as

INTOLERANCE
tol.

Activity
Discomfort
Heparin and Alternating
Alleviated
Epoeitin activities
Administration
Rest after
Dialysis

Maximized Reorientation
Level of
Functioning Disturbed thought
Safety
Process

Measures

Compliance of
Medical
Regimens

*Nursing Interventions are separated in two columns because some of the

symptoms are only present during hemodialysis and were not felt at home;
the patient is out- patient basis.