Medical Surgical Nursing I

Chronic Kidney Disease (CKD)

Chronic Kidney Disease (CKD)

Progressive, irreversible loss of kidney function characterized by a decrease in glomerular filtration rate.

Assessment Findings

  • Elevated BUN and Creatinine
  • Fluid retention and hypertension
  • Anemia due to decreased erythropoietin
  • Electrolyte imbalances (Hyperkalemia)

Nursing Management

  • Monitor intake and output strictly
  • Restrict potassium and phosphorus intake
  • Provide skin care to reduce pruritus
  • Assess for signs of fluid overload
  • Educate on dialysis vascular access care

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