Chronic Renal Failure (CRF) is a progressive reduction of functioning renal tissue such that the remaining kidney mass can no longer maintain the body’s internal environment. Here are 5 Chronic Renal Failure Nursing Care Plans.
CRF can develop insidiously over many years, or it may result from an episode of a cure renal failure from which the client has not recovered.
The nursing goal for client’s with CRF is to prevent further complications and supportive care. Client education is also critical as this is a chronic disease and thus requires long-term treatment.
Read below our 5 Chronic Renal Failure Nursing Care Plans
1. Fluid Volume Excess - Chronic Renal Failure Nursing Care Plans
Renal disorder impairs glomerular filtration that resulted to fluid overload. With fluid volume excess, hydrostatic pressure is higher than the usual pushing excess fluids into the interstitial spaces. Since fluids are not reabsorbed at the venous end, fluid volume overloads the lymph system and stays in the interstitial spaces leading the patient to have edema, weight gain, pulmonary congestion and HPN at the same time due to decrease GFR, nephron hyperthrophized leading to decrease ability of the kidney to concentrate urine and impaired excretion of fluid thus leading to oliguria/anuria.
2. Acute Pain - Chronic Renal Failure Nursing Care Plans
Pain is a discomfort that is caused by the stimulation of the nerve endings. Any trauma that the kidney experience (by any caused or factors) perceive by the body as a threat, the body releases cytokine and prostaglandin causing pain which is felt by the patient at his/her costovertebral area/flank.
3. Altered Renal Tissue Perfusion - Chronic Renal Failure Nursing Care Plans
or optimal cell functioning the kidney excrete potentially harmful nitrogenous product-Urea, Creatinine, Uric Acid but because of the loss of kidney excretory functions there is impaired excretion of nitrogenous waste product causing in increase in Laboratory result of BUN, Creatinine, Uric Acid Level
Altered- Renal- Perfusion- CRF
4. Impaired Urinary Elimination – Chronic Renal Failure Nursing Care Plans
Renal Failure is a problem which results to loss of kidney functions and as GFR decrease, the kidney cannot excrete nitrogenous product and fluid causing impaired in Urinary elimination and together with prolonged use of medications such as NSAIDs this will lead to further kidney destruction which may thus decreasing the glomerular filtration and destroying of the remaining nephrons. This will result into inability of the kidney to concentrate urine which makes the patient to have a nursing diagnosis of impaired urinary elimination.
Impaired- Urinary- Elimination- CRF
5. Altered Nutrition: Less than Body Requirements - Chronic Renal Failure Nursing Care Plans
Due restricted foods and prescribed dietary regimen, an individual experiencing renal problem cannot maintain ideal body weight and sufficient nutrition. At the same time patients may experience anemia due to decrease erythropoietic factor that cause decrease in production of RBC causing anemia and fatigue
Other possible nursing care plans includes:
- Hyperthermia due to possible infection or activation of inflammatory process,
- Impaired skin integrity due to edema,
- and deficient knowledge.
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Nurseslabs.org
Hello, your post satisfied me so much:) I’m a medical assistant and like to share. Actually chronic kidney disease occurs when one suffers from gradual and usually permanent loss of kidney function over time. This happens gradually, usually months to years. Chronic kidney disease is divided into five stages of increasing severity (see Table 1 below). The term “renal” refers to the kidney, so another name for kidney failure is “renal failure.” Mild kidney disease is often called renal insufficiency. With loss of kidney function, there is an accumulation of water; waste; and toxic substances, in the body, that are normally excreted by the kidney. Loss of kidney function also causes other problems such as anemia, high blood pressure, acidosis (excessive acidity of body fluids), disorders of cholesterol and fatty acids, and bone disease. Thanks! @DAISY:)