Nursing Diagnosis and Nursing Intervention for CRF - Chronic Renal Failure
Nursing Diagnosis for CRF
- Nutrition Disorders : Less than body requirements related to restriction intake (diet) and the effect of protein malnutrition resulting uremia - calori.
- Potential infections related to immune system suppression, due to uremia.
- Less able to care for themselves related to physical weakness.
Nursing Intervention for CHF
1. Nutrition Disorders: Less than body requirements related to restriction intake (diet) and the effect of protein malnutrition resulting uremia - calori.
Goal :
Balanced nutrition
Result Criteria :
Stable weight, eating out
Nursing Intervention :
- Assess for the presence of nausea, vomiting and anorexia.
- Monitor food intake and body weight changes; Monitor laboratory data: serum proteins, fats, potassium and sodium.
- Provide appropriate foods and dietary modification is recommended as Client favorite.
- Assist or instruct the patient to perform oral hygiene before meals.
- Give antiemetic and monitor responses.
- Collaboration premises dietitian for granting the right diet for patients.
2. Potential infections related to immune system suppression, due to uremia.
Goal :
No infection
Nursing Intervention
- Assess for the presence of signs of infection.
- Monitor temperature every 4-6 hours: Monitor laboratory data: WBC: Blood, urine, sputum culture. Monitor serum potassium.
- Keep antiseptic techniques during the treatment and always obey the universal precaution.
- Maintain personal hygiene, adequate nutrition status and adequate rest.
Healthy living habits that help prevent infection.
3. Less able to care for themselves related to physical weakness.
Goal :
Personal hygiene is fulfilled
Nursing Intervention :
- Kaji weakness and fatigue, and provide an explanation about the need for self-care.
- If the patient is not capable at all, Bantu do care to patients by involving the family.
- Do breathing exercises in cough and ambulation in bed.
