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Category Archives: Renal, Genito, Repro

NCP Deficient Fluid Volume — Hemodialysis

HD-Deficient Fluid Volume

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NURSING DIAGNOSIS: Fluid Volume, risk for deficient


Risk factors may include

  • Ultrafiltration
  • Fluid restrictions; actual blood loss (systemic heparinization or disconnection of the shunt)

Possibly evidenced by

  • [Not applicable; presence of signs and symptoms establishes an actual diagnosis.]

DESIRED OUTCOMES/EVALUATION CRITERIA—PATIENT WILL:
Hydration (NOC)

  • Maintain fluid balance as evidenced by stable/appropriate weight and vital signs, good skin turgor, moist mucous membranes, absence of bleeding.
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NCP Hemodialysis – Risk for Injury

HD-Risk for Injury

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NURSING DIAGNOSIS: Injury, risk for [loss of vascular access]
Risk factors may include

  • Clotting; hemorrhage related to accidental disconnection; infection

Possibly evidenced by

  • [Not applicable; presence of signs and symptoms establishes an actual diagnosis.]

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Excess Fluid Volume — Hemodialysis

HD-Excess Fluid Volume

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NURSING DIAGNOSIS: Fluid Volume, risk for excess

Risk factors may include

  • Rapid/excessive fluid intake: IV, blood, plasma expanders, saline given to support BP during dialysis

Possibly evidenced by

  • [Not applicable; presence of signs and symptoms establishes an actual diagnosis.]

(more…)

Hemodialysis Nursing Care Plans

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In hemodialysis (HD), blood is shunted through an artificial kidney (dialyzer) for removal of toxins/excess fluid and then returned to the venous circulation.Hemodialysis is a fast and efficient method for removing urea and other toxic products and correcting fluid and electrolyte imbalances but requires permanent arteriovenous access. Procedure is usually performed three times per week for 4 hr.Hemodialysis may be done in the hospital, outpatient dialysis center, or at home.

3 Hemodialysis Nursing Care Plans

  1. Risk for Injury — Hemodialysis
  2. Deficient Fluid Volume — Hemodialysis
  3. Excess Fluid Volume — Hemodialysis
 Source:

Kidney Transplantation

Definition

  • The implantation of a kidney from a living donor or cadaver donor (kidney harvesting) to a tissue-matched recipient.
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