Chronic renal failure

A client with chronic renal failure (CRF) is admitted to the urology unit. Which diagnostic test results are consistent with CRF?

BUN 100mg/dL and creatinine 6.5mg/dL

Risk factors for CRF

Diabetes HTN Vascular disease of kidneys Infections Medications

Early management of CRF focuses on

Elimination factors may further decrease renal function and on measures to slow the progression of the disease to ESRD

Which individual likely faces the greatest risk for the development of chronic kidney disease?

A client with a recent diagnosis of type 2 diabetes who does not monitor blood sugars or control diet

A client with chronic renal failure comes to the clinic for a visit. During the visit, he complains of pruritus. Which suggestion by the nurse would be most appropriate?

"Keep your showers brief patting your skin dry after showering"

What you need to know

- renal failure is common and costly - incidence is increasing especially in elderly - African Americans are at risk more

Aclient with chronic renal failure is admitted with a heart rate of 122 beats/minute, a respiratory rate of 32 breaths/minute, a blood pressure of 190/110 mm Hg, jugular vein distention, and bibasilar crackles. Which nursing diagnosis takes highest priority for this client?

Excess fluid volume

Treatment of CRF

Often when uremia develops, only option is dialysis - serum bun and creatinine and electrolytes - monitor VS - accurate I and O Diuretic administration Fluid restriction

The term used to describe total urine output less than 0.5 is

Oliguria

S/S of CRF

Pulmonary edema Proteinuria Hematuria Oliguria Bone pain, spontaneous fractures Lethargy, headache, impaired cognition HTN and edema Palllor, uremic skin color, dry skin, poor skin turgor, pruritus

Diagnostics for CRF

Urinalysis and urine culture GFR / creatinine clearance BUN Serum creatinine Serum electrolytes CBC