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According to Doenges (1999) and Lynda Juall (2000), nursing diagnoses that appear in patients with CKD
are:
1.
2.
3.
Imbalanced Nutrition.
4.
5.
Fluid and Electrolyte imbalances related to secondary edema (fluid volume unbalanced because of the
retention of Na and H2O).
Goal: Maintain ideal body weight without excess fluid with outcomecriteria: no edema, the balance
between inputs and outputs.
intervention:
1 Assess fluid status with daily weigh, balance input and output, skin turgor, vital signs.
2 Limit your fluid intake.
R: fluid restriction akn determine ideal body weight, urine output, and response to therapy.
3 Explain to the patient and family about the liquid restrictions.
R: Understanding to increase cooperation of patients and families in the fluid restriction.
d. Instruct the patient / teach the patient to record the use of fluid intake and output mainly.
R: To determine the balance of inputs and outputs.
Imbalanced Nutrition, Less Than Body Requirements related to anorexia, nausea, vomiting.
Goal: Maintain adequate nutrient inputs to the outcome criteria: demonstrate stable weight.
intervention:
1 Monitor the consumption of foods / liquids.
R: Identifying nutritional deficiencies.
2 Notice of nausea and vomiting.
R: Symptoms that accompany the accumulation of endogenous toxins that can alter or lower income and
require intervention.
3 Give food a little but often.
R: The portion of a smaller can increase food intake.
4 Increase visits by people nearby during meals.
R: Provides transfer and improve the social aspects.
5. Provide frequent mouth care.
R: Lowering stomatitis oral discomfort and unwelcome taste in the mouth that can affect food intake.