Nursing diagnosis Patient outcomes Nursing interventions

1. Monitor the fluid

1- Excess fluid volume 1. To assess balance
related to inability of between the fluid
the kidneys to excrete intake & output and
fluid. plan further
Interventions.
volume status of the
client with I/O chart.
2. Monitor the weight of
the client daily.

2. To identify the fluid 3. Advise salt & protein

volume status. restricted diet.

3. To control Hypertension 4. Monitor for signs of

and edema. pulmonary Edema like
Shortness of breath,
4. To indicate the excess tachypnea and frothy
fluid volume status. sputum.

5. To remove excess fluid 5. Administer Diuretic

volume from the body. therapy as prescribed.

6. To remove excess fluid 6. Institute the dialysis

7. To minimize edema and
prevent muscle wasting.
8. To maintain a normal
electrolyte balance.
therapy as prescribed
after explaining the
procedure and
obtaining consent.
7. Teach the client to do
regular exercises to the
extremities.

8. Correction of
electrolyte imbalance
with dietary
modifications.
Nursing diagnosis
2-Imbalanced Nutrition less
body than requirements related
anorexia, restricted dietary
Intake secondary to renal
dysfunction
Patient outcomes Nursing interventions
1. To plan Interventions as
per the Nutritional
needs of the client.
2. To identify the weight
loss and nutritional
status of the client.
3. To treat Nausea &
Vomiting.
4. To slow the progression
of Renal Failure.
5. To minimise the total
nitrogen Intake at the
same time to
supplement the
protein.
6. To minimize the
catabolism of body
protein & maintain an
ideal body weight.
7. 600 ml is for the
insensible losses and to
adjust fluids as per the
urine output to prevent
workload to kidneys.
8. To prevent
hypertension &
hyperkalaemia.
1. Monitor the Nutritional
Status &imposed
dietary restrictions of
the client.
2. Check daily weight.
3. Administer Anti-emetics
like Emeset as
prescribed.
4. Advice low protein to
0.6-0.8g/Kg body
weight per day & low
phosphorous diet.
5. Dietary supplement
with essential amino
acids like Ketoacids are
given.
6. Advice to take Sufficient
calories with
carbohydrates & Fats.
7. Advice fluid restriction
as per the amount of
urine output of the
previous day plus 600ml
is allowed.
8. Advice Dietary
restriction of Sodium &
Potassium to 2-4gm per
day.
Nursing diagnosis
3-Fear related to Function and
the treatment Renal or loss of
Kidney need for long term
dialysis transplantation.
Patient outcomes
1-Assessment aids in planning
appropriate Interventions.
2-Family members can provide
positive support and help the
client in making decisions.
3-To foster relationship and
identify the ability of client to
handle the situation.
4-Loneliness can aggravate fear
and can lead to taking Negative
Decisions.
5-To gain confidence of the
client and to encourage the
client to take decisions related
to health conditions.
6-To gain confidence and
relieves fear.
7-To provide continuous
support and meet the financial
needs of the client.
8-To provide psychological
support & relieve fear.
Nursing interventions
1-Assess the cause & extent of
Fear.
2-Allow family members to talk
with the client & involve them
while taking health related
decisions.
3-Listen attentively to the client
concerns & express caring
attitude towards the client.
4-Do not Leave the client alone.
5-Explain regarding the various
treatment modalities like
haemodialysis, Dietary
regulations, Peritoneal Dialysis
& Surgical Interventions
available.
6-Provide Positive
Reinforcement by introducing
the client to other patients with
the same disease condition and
undergoing the same
treatment.
7-Identify the sources of
community Support and
Introduce the client to those
support systems.
8-Assist the client to solve
problems in a constructive
manner.