1. Risk of Infection related by the Risk of infection 1. Explain the pt 1. With
entrance of the bacteria because doesn’t occur about the explaining, ot of the fistula which marked by during the nursing procedure will understand there’s reddish look on the pt’s assessment with 2. Monitor the the procedure skin criteria: skin around 2. By monitoring, - Pt cooperative the fistula we will know if - No reddish 3. Clean the there’s infection skin fistula area or not - No itchy feel with aseptic 3. By cleaning technique will avoid the 4. Collaboration infection with physician 4. Antibiotic to in giving avoid the antibiotic infection drugs 5. Good vital sign 5. Observe vital is indication of sign the good body hemodynamic
2. Lack of knowledge related by Lack of 1. Explain the 1. With
the pt doesn’t know the knowledge can be procedure explaining, ot procedure about the dialysis solved after giving 2. Give will understand marked by pt always asked 5 x 24 hours with education the procedure about the procedure of dialysis, criteria: about the 2. By giving pt always asked about their - Pt dialysis education, the condition, Pt looks confused cooperativ procedure pt will know e 3. Motivate the the procedure - Pt doesn’t pt to believe 3. The pt will be ask about in what will cooperative the we do dialysis - Pt doesn’t ask about their condition 3. Anxiety related by the lack of Anxiety can be 1. Explain 1. With knowledge of the pt, marked by solved after giving about the explaining, ot the pt always asked about their nursing procedure will condition, pt looked afraid assessments in 5 x 2. Make sure understand the 24 hours with to the pt procedure criteria: that they’ll 2. The pt will - Pt be alright feel save cooperativ 3. Prepare the 3. To strengthen e pt’s mental pt’s mental - Pt doesn’t 4. Advice the for the ask about pt to do dialysis the relaxation procedure condition technique 4. To reduce the - Pt doesn’t anxiety level look afraid of the pt