Nutritional Therapy
- Protein is restricted (allowed protein should be of high biologic value)
- Restrict fluid (500-600 ml/day more than previous day‘s urine output).
- Restrict K, Na, Phosphorus
- Increase CHO to meat caloric needs
- Vitamin suplements
Protein is restricted because urea, uric acid, and organic acids–the breakdown products
of dietary and tissue proteins–accumulate rapidly in the blood when there is impaired
renal clearance.
Treatment
- Dialysis
- Transplantation
- Nursing diagnosis
- Excess fluid volume related to decreased urine output, dietary excesses, and retention
of sodium and water
- Imbalanced nutrition: less than body requirements related to anorexia, nausea and
vomiting, dietary restrictions, and altered oral mucous membranes
Nursing diagnosis
- Deficient knowledge regarding condition and treatment regimen
- Activity intolerance related to fatigue, anemia, retention of waste products, and
dialysis procedure - Risk for situational low self-esteem related to dependency, role changes, changes in
body image, and sexual dysfunction
Chronic Renal Failure
- Nursing care: see nursing process below
Dialysis
- Dialysis is used to remove fluid and uremic waste products from the body when the
kidneys are unable to do so. - Chronic: in ESRF when the kidney can‘t remove waste products.