• Chronic kidney failure, also previously known as chronic kidney disease, is a nonreversible disease. The kidney may lose up to 80% of its nephrons before any signs and symptoms may appear. The nephron is the smallest part of the kidney and its job is to filter blood. The loss of nephrons can come from various ways ranging from diabetes, hypertension, urinary tract obstruction, chronic glomerular disease and chronic infection. Diabetes causes loss of nephrons because there is so much glucose in the blood that the glucose get stuck at the filtering site of the nephron causing inflammation and scar tissue to develop. Once scar tissue develops on the nephron, the nephron is lost and no longer able to function. …show more content…
Long term complications from the use of immunosuppression drugs are infection, hypertension, chronic liver disease, bone demineralization, cardiovascular disease, cancer, cataracts, and GI hemorrhage. o Interventions
Educating the patient in controlling underlying conditions
• The patient should be educated in controlling their blood pressure if they have hypertension and controlling their blood sugar if they have diabetes mellitus. Compliance is the most important way of controlling chronic renal failure
• Education should also focus on controlling infection, volume depletion and avoiding nephrotoxic medications to prevent further destruction of the kidney
Auscultate heart and lung sounds
• Presence of tachycardia and irregular heart rate
Assess for