Predisposing Factors: Precipitating factors:

Age greater than Hypertension

60 y/o Increase protein
Hereditary and fat intake

Decreased renal blood Extracorporeal

flow Shock Wave
Diabetes mellitus
Lithotripsy (ESWL)
Urine outflow

Increase Increase serum

Decreased
BUN glomerular creatinine
filtration

Hypertrophy of
polyuria Loss of sodium in
remaining
urine
nephrons

dehydration Inability to concentrate Hyponatremia

urine

Anxiety related to change in health

Further loss of nephrons
status, relationships, role function
function
and threat of death.

Loss of non-excretory renal Insertion of Intrajugular Loss of excretory renal

Failure to Failure to Impaired vein cather Increase Immune Disturbances
convert produce insulin Production of disturban in
inactive Impaired skin integrity
eryhtropoieti related to
action lipids Risk for infection
ces related to invasive reproduction
forms of insertion n
of permanent IJ catheter procedures (Insertion of permanent IJ
HEMODIALY
secondary to hemodialysis. Cath. And hemodialysis).
 Anemia Erratic blood Advanced
Decrease Pallor atheroscle Delayed Infection Decreas Infertility
Calcium glucose
levels rosis wound e Libido
absorption healing

Vitamin
Hypocalcemia K
Moriamin

Fatigue related to disease states,

altered metabolic energy production
and anemia.
Kalium
Phosphatidyl
Durule

Excretion of Decreased Decreased Decreased Decreased

nitrogenous sodium potassium phosphate hydrogen
waste reabsorption in excretion excretion
tubule excretion

Uremia
Hyperkalemia Hyperphosphatemia Metabolic acidosis

BUN, Water Retention

Excess fluid volume related to
accumulation of fluid in the peritoneal
Creatinine cavity secondary to ascites.
Decreased
Increased
Decreased
calcium
potassium
Hypocalcemia
potassium excretion
absorption
Hyperparathyroidism
 Proteniuria
Excess fluid volume related to sodium,
Hypertension
chloride and water retention secondary
Peripheral Heart Failure to chronic kidney failure.
nerve changes
Edema

Acites

Pericarditis Amlodipi Risk for imbalance nutrition: Less than

body requirements related to inability
to ingest or digest food or absorption
CNS changes
nutrients as a result of physiologic
Decreased cardiac output related to
factors
altered myocardial contractility
Pruritus
secondary to chronic kidney failure.

Altered Taste LEGEND:

SIGNS AND SYMPTOMS
Bleeding
Tendencies

NURSING DIAGNOSIS

TREATMENTS and
MEDICATIONS