5 Nursing care plans for kidney failure

5 Nursing care plans for kidney failure

Certainly, here are five nursing care plans for patients with kidney failure:

  1. Fluid volume excess related to compromised renal function:
    • Monitor the patient’s fluid intake and output closely, including daily weights and signs of fluid overload such as edema and pulmonary congestion.
    • Restrict fluid intake as prescribed and monitor for adherence.
    • Administer diuretics as prescribed to promote fluid excretion.
    • Educate the patient on dietary restrictions regarding fluid intake and sodium consumption.
    • Collaborate with the healthcare team to adjust medications and interventions based on the patient’s fluid status.
  2. Risk for electrolyte imbalance related to impaired renal regulation:
    • Monitor electrolyte levels regularly, including potassium, sodium, calcium, and phosphate.
    • Administer electrolyte replacement therapy as prescribed to maintain balance.
    • Educate the patient on dietary restrictions and the importance of adhering to prescribed electrolyte management strategies.
    • Monitor for signs of electrolyte imbalance, such as muscle weakness, cardiac arrhythmias, and altered mental status.
    • Collaborate with the healthcare team to adjust medications and interventions based on the patient’s electrolyte levels and clinical condition.
  3. Impaired skin integrity related to uremic toxins and fluid overload:
    • Assess the patient’s skin integrity regularly, paying particular attention to areas prone to pressure injuries and moisture-associated skin damage.
    • Implement preventive measures such as repositioning, using pressure-relieving devices, and maintaining clean, dry skin.
    • Provide meticulous skin care, including gentle cleansing and application of moisture barrier creams.
    • Educate the patient on the importance of proper hygiene and skincare practices.
    • Collaborate with the interdisciplinary team to address underlying factors contributing to skin impairment, such as fluid overload and nutritional deficiencies.
  4. Fatigue related to anemia and metabolic disturbances:
    • Assess the patient’s level of fatigue and factors contributing to decreased energy levels, such as anemia, electrolyte imbalances, and metabolic acidosis.
    • Encourage rest and pacing of activities to conserve energy.
    • Administer erythropoiesis-stimulating agents and iron supplementation as prescribed to manage anemia.
    • Monitor for signs of worsening fatigue and adjust interventions accordingly.
    • Educate the patient on energy conservation techniques and the importance of balanced nutrition and hydration.
  5. Deficient knowledge regarding kidney failure management:
    • Assess the patient’s understanding of kidney failure, including causes, treatment options, and self-management strategies.
    • Provide education on kidney failure management, including dietary restrictions, medication management, and fluid intake monitoring.
    • Discuss the importance of adherence to prescribed treatment regimens and follow-up appointments.
    • Provide written materials and visual aids in the patient’s language, and encourage questions and open communication.
    • Assess the patient’s learning needs and readiness to learn, and tailor education sessions accordingly to promote understanding and retention of information.

These nursing care plans aim to address the complex needs of patients with kidney failure, including fluid and electrolyte balance, skin integrity, fatigue management, and patient education for effective self-management.


Leave a Reply