During ARF excess fluid volume can occur due to the intake being greater than the output. This usually occurs in the oliguria phase. Due to the patient being on diuretic, the nursing intervention would be to monitor I/O and also monitor for the specific gravity in the urine. In order to measures the kidney’s ability to concentrate urine. The nurse also needs to maintain and monitor the patient weights daily to prevent any additional weight to be added. The patients need to be on a fluid and diet restriction because the kidneys stop functioning properly and will not be able to filter the waste from your bloodstream effectively. This in turn will lead to a buildup of waste matter and toxins in your blood. So with nutritional management, you can
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Number one prevention for an infection is to promote good hand hygiene by both patient and staff to reduce the risk of cross contamination. Avoid invasive procedures, instrumentation, and manipulation of indwelling catheters whenever possible and use strict aseptic technique when caring for the patient. Linton, A. (2007). Urologic Disorders. Introduction to Medical-Surgical Nursing. (pp. 912-913) To help limits introduction of bacteria into body and early detection of developing infection. Provide routine catheter care and promote meticulous perineal care to help reduces bacterial colonization and risk of ascending UTI. Keep urinary drainage system closed and remove indwelling catheter as soon as possible. Monitor vital signs for an elevated temp for signs and symptoms of an infections. Fever higher than 100.4° with increased pulse and respirations is typical of increased metabolic rate resulting from inflammatory process. And always help promote pulmonary function by assisting the patient with turning, coughing and taking deep breaths and the use of the incentive spirometer. If the patient was to get an infection they must be medicated with antibiotic and due to the treatments we must also monitor for sign and symptoms for constipation. Finally monitor laboratory results for elevated WBCs which may indicate generalized infection. Leukocytosis is commonly seen in ARF and may …show more content…
Review disease process, prognosis by providing knowledge base from which patient can make informed choices. Discuss renal dialysis and or transplantation and explain level of renal function. Although these options would have been previously presented by the physician, patient may now be at a point when options need to be considered and may desire additional input. Finally, provide emotional support to the patient and family to help reassure them of the all the procedures that patient may undergo to help lower the anxiety
Number one prevention for an infection is to promote good hand hygiene by both patient and staff to reduce the risk of cross contamination. Avoid invasive procedures, instrumentation, and manipulation of indwelling catheters whenever possible and use strict aseptic technique when caring for the patient. Linton, A. (2007). Urologic Disorders. Introduction to Medical-Surgical Nursing. (pp. 912-913) To help limits introduction of bacteria into body and early detection of developing infection. Provide routine catheter care and promote meticulous perineal care to help reduces bacterial colonization and risk of ascending UTI. Keep urinary drainage system closed and remove indwelling catheter as soon as possible. Monitor vital signs for an elevated temp for signs and symptoms of an infections. Fever higher than 100.4° with increased pulse and respirations is typical of increased metabolic rate resulting from inflammatory process. And always help promote pulmonary function by assisting the patient with turning, coughing and taking deep breaths and the use of the incentive spirometer. If the patient was to get an infection they must be medicated with antibiotic and due to the treatments we must also monitor for sign and symptoms for constipation. Finally monitor laboratory results for elevated WBCs which may indicate generalized infection. Leukocytosis is commonly seen in ARF and may …show more content…
Review disease process, prognosis by providing knowledge base from which patient can make informed choices. Discuss renal dialysis and or transplantation and explain level of renal function. Although these options would have been previously presented by the physician, patient may now be at a point when options need to be considered and may desire additional input. Finally, provide emotional support to the patient and family to help reassure them of the all the procedures that patient may undergo to help lower the anxiety