Predisposing Factors:

Age greater than 60 y/o Hereditary

Precipitating factors: Hypertension Increase protein and fat intake

Decreased renal blood flow Diabetes mellitus Urine outflow obstruction

Extracorporeal Shock Wave Lithotripsy (ESWL)

Increase BUN

Decreased glomerular filtration

Increase serum creatinine

polyuria

Hypertrophy of remaining nephrons

Loss of sodium in urine

dehydration

Inability to concentrate urine

Hyponatremia

Further loss of nephrons function

Anxiety related to change in health status, relationships, role function and threat of death.

Loss of non-excretory renal function

Insertion of Intrajugular vein cather

Loss of excretory renal function

Impaired skin integrity related to insertion of permanent IJ catheter secondary to hemodialysis.

HEMODIALYSIS

Risk for infection related to invasive procedures (Insertion of permanent IJ Cath. And hemodialysis).

Failure to convert inactive forms of calcium

Failure to produce eryhtropoietin

Impaired insulin action

Increase Production of lipids

Immune disturbance s

Disturbances in reproduction

Decrease Calcium absorption

Anemia Pallor

Erratic blood glucose levels Vitamin K

Advanced atherosclerosi s

Delayed wound healing

Infection

Decreas e Libido

Infertility

Hypocalcemia

Moriamin forte

Fatigue related to disease states, altered metabolic energy production and anemia.

Kalium Durule

Phosphatidyl Choline

Excretion of nitrogenous waste

Decreased sodium reabsorption in tubule

Decreased potassium excretion

Decreased phosphate excretion

Decreased hydrogen excretion

Uremia Hyperkalemia Hyperphosphatemia Metabolic acidosis

BUN, Creatinine Uric Acid Proteniuria

Water Retention

Excess fluid volume related to accumulation of fluid in the peritoneal cavity secondary to ascites.

Hypertension Peripheral nerve changes Heart Failure

Excess fluid volume related to sodium, chloride and water retention secondary to chronic kidney failure.

Pericarditis

CNS changes Pruritus

Excess fluid volume related to accumulation of fluid in the peritoneal cavity secondary to Acites ascites. Amlodipine Risk for imbalance nutrition: Less than body requirements related to inability to ingest or digest food or absorption nutrients as a result of physiologic factors Decreased cardiac output related to altered myocardial contractility secondary to chronic kidney failure.
Edema

Altered Taste

LEGEND:
SIGNS AND SYMPTOMS

Bleeding Tendencies

NURSING DIAGNOSIS

TREATMENTS and MEDICATIONS