Name: ckd nursing care: assessment to follow-up
Uploaded: 2025-06-19T09:33:10.000Z
Duration: 1 min 18 s
Channel: JoVE

Nursing management of chronic kidney disease begins by reviewing the patient&#8217;s history for conditions like diabetes, hypertension, or prolonged use of nephrotoxic drugs.During the physical examination, the nurse checks for peripheral edema, and uremia symptoms, like fatigue and pruritus.Cardiovascular assessment includes monitoring for jugular vein distension, lung crackles, and ECG changes indicating hyperkalemia, like peaked T waves and a widened QRS complex.Based on these assessments, potential nursing diagnoses include:Excess fluid volume related to impaired kidney function, as evidenced by peripheral edema and an increased weight.Decreased Cardiac Output related to electrolyte imbalance as evidenced by peaked T waves and widened QRS complexes.The primary goals are maintaining fluid and electrolyte balance, promoting cardiac stability, and preventing complications.The nurse achieves these by monitoring fluid intake and output, educating on a low-sodium diet, reinforcing medication adherence, and assessing vital signs for cardiac changes.

chronic kidney disease iv: nursing management

Chronic Kidney Disease IV: Nursing Management

Nursing management is essential for preventing complications, maintaining stability, and improving patients' quality of life in chronic kidney disease (CKD). By using a structured approach, nurses help slow CKD progression and support effective patient care&#8203;.1. Comprehensive patient assessment Effective management begins with nurses reviewing the patient&#8217;s medical history, and identifying key risk factors like diabetes, hypertension, and nephrotoxic drug use. Nurses assess signs of fluid retention, such as peripheral edema and uremic symptoms like fatigue and pruritus. They conduct cardiovascular assessments, examining jugular vein distension and checking ECG for hyperkalemia indicators like peaked T waves and widened QRS complexes. Nurses rely on key diagnostic markers, including glomerular filtration rate (GFR), serum creatinine, and potassium levels, to evaluate kidney function and monitor hyperkalemia risk&#8203;.2. Nursing diagnoses and goals After assessment, nurses establish primary diagnoses to inform patient care. They often identify excess fluid volume related to impaired kidney function, which they address by setting a goal to maintain fluid balance, reduce edema, and prevent overload. Another priority diagnosis is the risk for decreased cardiac output from electrolyte imbalances, with a goal to stabilize cardiac function through careful management of electrolytes and blood pressure. Nurses also address imbalanced nutrition caused by dietary limitations and appetite loss, aiming to support nutritional needs within safe dietary limits and prevent malnutrition&#8203;.3. Nursing interventions To achieve these goals, nurses implement targeted interventions. They monitor fluid balance by tracking intake and output daily, and they collaborate with dietitians to provide dietary education, guiding patients on low-sodium and low-potassium diets. Nurses emphasize the importance of medication adherence, particularly with antihypertensives and potassium binders, to manage hypertension and electrolyte levels. They perform regular cardiac monitoring to catch early signs of electrolyte imbalance, and they offer psychosocial support to help patients manage CKD&#8217;s emotional impact, connecting them with resources as needed&#8203;.4. Evaluation Nurses continually evaluate patient responses to treatment, adjusting care plans as needed to ensure effectiveness. They monitor indicators like weight, electrolyte levels, and vital signs to confirm positive outcomes. If issues such as persistent edema or ECG changes arise, nurses make necessary adjustments to the care plan, modifying dietary advice or adjusting medications. This ongoing reassessment allows nurses to provide adaptive and responsive care that supports patients&#8217; optimal health outcomes.

Nursing management is essential for preventing complications, maintaining stability, and improving patients' quality of life in chronic kidney disease ...

chronic-kidney-disease-iv-nursing-management

Education

JoVE Core

Medical-Surgical Nursing

Unit 1

Management of Patients with Kidney Disorders

management-of-patients-with-kidney-disorders

KEY TERMS AND CONCEPTS

ckd nursing care: assessment to follow-up

Chronic kidney disease nursing care focuses on assessment, monitoring, and follow-up to help prevent complications and keep patients stable. Nurses use a structured approach to slow CKD progression and support quality of life.

Care starts with a full patient assessment. Nurses review medical history and look for risk factors such as diabetes, hypertension, and nephrotoxic drug use, which are medicines that can harm the kidneys. They also check for fluid retention, including peripheral edema, and uremic symptoms such as fatigue and pruritus, or itching.

Nurses also assess the cardiovascular system closely. They check for jugular vein distension and review ECG findings for signs of hyperkalemia, which means high potassium levels. Peaked T waves and widened QRS complexes can appear on the ECG. Key lab values such as glomerular filtration rate, serum creatinine, and potassium help nurses judge kidney function and monitor hyperkalemia risk.

After assessment, nurses identify major nursing diagnoses and set goals. Common concerns include excess fluid volume related to impaired kidney function, risk for decreased cardiac output from electrolyte imbalances, and imbalanced nutrition from diet limits and poor appetite. Goals focus on fluid balance, reduced edema, stable heart function, and nutrition within safe dietary limits to prevent malnutrition.

Nursing interventions are aimed at reaching those goals. Nurses track intake and output each day to monitor fluid balance and work with dietitians to teach low-sodium and low-potassium diets. They stress medication adherence, especially with antihypertensives and potassium binders, and they provide regular cardiac monitoring. Nurses also offer psychosocial support and connect patients with resources when needed.

Evaluation is an ongoing part of CKD care. Nurses watch weight, electrolyte levels, and vital signs to see whether treatment is working. If edema continues or ECG changes appear, they adjust the care plan, which may include changing dietary advice or medications. This repeated reassessment helps nurses respond to patient needs and support better outcomes.

CKD Nursing Care: Assessment to Follow-Up

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Chronic kidney disease nursing care focuses on assessment, monitoring, and follow-up to help prevent complications and keep patients stable. Nurses use a structured approach to slow CKD progression and support quality of life. Care starts with a full patient assessment. Nurses review medical history and look for risk factors such as diabetes, hypertension, and nephrotoxic drug use, which are medicines that can harm the kidneys. They also check for fluid retention, including peripheral edema,...

key terms and concepts

Follow CKD nursing care from patient assessment to evaluation. Learn how nurses monitor fluid balance, potassium, heart rhythm, diet, and medications.

CKD Nursing Care: Assessment to Follow-Up | JoVE K12

JoVE Core Medical-Surgical Nursing offers comprehensive animated lessons that cover major systems of the human body, integrating anatomy and physiology with system-specific assessments. This collection encompasses disease conditions based on the body systems, detailing their pathophysiology, medical and surgical management, and nursing interventions. These lessons provide a clear and practical understanding of medical-surgical care, equipping students with essential skills for managing patient care in various clinical settings.

CKD Nursing Care: Assessment to Follow-Up

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