Nanda Nursing Diagnosis

Nursing Care Plan for Chronic Kidney Disease Chronic Kidney Disease (CKD) / CRF is a kidney disorder that is progressive and irreversible in which the ability of the body fails to maintain metabolism and fluid and electrolyte balance, causing uremia (retention of urea and other nitrogen garbage in the blood). Causes of Chronic Kidney Diseas CKD / CRF may be caused by systemic diseases are as follows: DM. Chronic Glomerulonefrtitis. Pyelonephritis. Toxic agents. Uncontrolled hypertension. Urinalysis tract obstruction. Vascular disorders. Infection. Clinical manifestations of Chronic Kidney Disease Cardiovascular system: includes hypertension (due to fluid retention and sodium from activation of the renin-angiotensin-aldosterone system), congestive heart failure and pulmonary edema (due to excess fluid) and pericarditis (due to irritation of the pericardial layers by uremic toxins). Integrumenurum system: severe itching (pruritus). Granules is a penunpukkan uremic urine crystals in the s...

Chronic kidney disease or end stage renal disease (ESRD) is a progressive disorder of renal function and the irreversible failure where the body's ability to maintain metabolism and fluid and electrolyte balance, causing uremia (retention of urea and other nitrogen garbage in the blood). (Brunner & Suddarth, 2001; 1448) Clinical Manifestations of Chronic Kidney Disease Clinical manifestations according Suyono (2001) is as follows: a. Cardiovascular disorders Hypertension, chest pain, and shortness of breath due to pericarditis, pericardial effusion and heart failure due to fluid retention, heart rhythm disturbances and edema. b. Pulmonary disorders Shallow breathing, Kussmaul breathing, cough with thick sputum and ripples, the sound crackles. c. Gastrointestinal disorders Anorexia, nausea, and fomitus associated with protein metabolism in the intestine, gastrointestinal tract bleeding, ulceration and bleeding mouth, ammonia breath odor. d. Musculoskeletal disorders Restless leg...