Medical Surgical Nursing I
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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