acute renal failure

acute renal failure

1. Anemia (folate)

   • Vit B9 supplement
     • teach dietary resources
       • dietician consult
   • oxygenation issues
     • hypoxia
       • O2 via nasal cannula

2. RLL wound

   • delayed healing
     • pain
       • s/sx infection?
         • pt teaching
       • assess pain level
       • treat pain
   • WOCN consult

3. GFR 20 (low!)

   • edema
     • fatigue
       • weakness
         • bed rest
           • Foley cath
             • at risk UTI
           • turn patient Q2hrs
             • assess skin
         • fall precautions
           • call light
         • Daily PT
           • encourage exercises between sessions
       • SOB on exertion
         • teach patient to take breaks
     • Risk for Na retention
   • electrolyte imbalances
     • electrolyte replacement
       • lab values
         • cardiac enzymes
           • monitor vitals
             • watch for fever
             • BP
             • O2 sats
       • K replacement
   • bedside dialysis
     • I & O
       • watch fluid volume
         • hyper/hypovolemia