Planning and implementing nursing care - acute renal failure, Biology

Planning the Nursing Care

  1. Monitor fluid intake and urinary output 
  2. Administer drugs as advised/prescribed 
  3. Monitor the child on dialysis 
  4. Provide therapeutic diet 
  5. Prevent complications 
  6. Protect the child from infection. 

Implementation of Nursing Care

Monitor Fluid Intake and Output

It is your responsibility as a nurse to maintain strict intake and output and daily weight record. In a child with complete anuria, daily

intake is restricted to losses through perspiration, vomiting, stools and breathing. This may be given orally or intravenously as advised : Avoid excessive intake of fluids to prevent volume overload.
IV  isotonic saline or ringer's lactate is given at the rate of 20 to 30 ml/kg of body weight in one hour. In case of excessive blood loss or burns, a blood transfusion (10 to 20 mg/kg is indicated).

Administration of Drugs as Prescribed

If the output of urine does not increase despite adequate rehydration mannitol may be given as advised. It is given in the dose of 0.2 to 0.5 g/kg of a 20 per cent aqueous solution intravenously during 3 to 5 minutes interval. If response to mannitol is also poor, a diuretic like frusemide may be advised.

Therapeutic Diet

Protein intake is reduced to a minimum to cut down endogenous catabolism. Diet should be mainly in the form of carbohydrates and fats.

Posted Date: 10/27/2012 1:56:44 AM | Location : United States







Related Discussions:- Planning and implementing nursing care - acute renal failure, Assignment Help, Ask Question on Planning and implementing nursing care - acute renal failure, Get Answer, Expert's Help, Planning and implementing nursing care - acute renal failure Discussions

Write discussion on Planning and implementing nursing care - acute renal failure
Your posts are moderated
Related Questions
Explain the largest group of bacteria Eubacteria? Eubacteria are the largest group of bacteria within Kingdom Monera. They are the "true" bacteria, what most people referred to

Phylum Cyanobacteria Cyanobacteria  are prokaryotes,  but  they are not  like bacteria  in  the usual  sense of  the word.  The cyanobacteria  lack chloroplasts,  and  their  l

Characteristics of Gametes Following are some general characteristics of gametes: 1. The female gametes are usually laden with food material, the yolk, while the male gamet

Benzathine penicillin given every three weeks as IM injection (1.2 mega units) has given the best results. Oral agents (penicillin V) are given in patients with lower risk of rheum

What are the Results of pulmonary artery banding ? Results of surgery for ventricular septa1 defects are excellent. Though the mortality is not 0 per cent, in a large series it

Glucokinase In the fed state, clearance of blood  glucose is mainly by  liver via glucokinase. Glucokinase, which  is an  inducible enzyme, removes most of the blood glucose fr

Q. Identification and Care of Taxonomic collections? Collection of plant specimens is essential for taxconomic research. Herbarium specimens become a permanent record. Select t

How is water's importance to life reflected in the normal range of internal pH values that living things are likely to have?

Explain the Chemotherapeautic rinses Chemotherapeautic rinses:  The use of  0.12  per cent chlorhexidine has been proven to be of therapeutic significance in maintaining period

State the basic properties of Cell The differences of cell types notwithstanding, the similarities among them are more profound. Actually, all cells possess the same basic prop