- Monitor 24-hour urine volume to follow clinical course of the disease.
- Monitor BUN, creatinine, and electrolyte.
- Monitor ABG levels as necessary to evaluate acid-base balance.
- Weigh the patient to provide an index of fluid balance.
- Monitor Vital Sign Scuch as blood pressure during Througout 24hours
- Provide only enough fluid intake to replace urine output to avoid an edema caused by excessive fluid intake.
- Administer with meals to reduce gastric upset
- Avoid using with neurotoxic drugs
- Provide frequent oral hygiene to avoid tissue irritation and sometime ulcer formation caused by urea and other acid waste products excreted through the skin and mucous membranes.
- Maintain skin care with cool water to relive pruritus and remove uremic frost (white crystal formed on skin from excretion of urea).
- Explain treatments and progress to the client to help reduce anxiety.
- Provide emotional reassurance to the client and family members to help decrease anxiety levels caused by the fact that the client has an acute illness with unknown prognosis.
Nursing Action/Management for Acute Renal Failure
