Acute renal failure (acute kidney injury) requires careful fluid and electrolyte management, with a primary focus on preventing hyperkalemia and fluid overload while identifying and treating the underlying cause. Nursing interventions include: monitoring daily weight and strict intake/output; assessing for edema, lung crackles, and jugular venous distention; restricting fluid and potassium intake; administering medications to correct electrolyte imbalances (e.g., kayexalate for hyperkalemia); avoiding nephrotoxic drugs; and preparing for renal replacement therapy (dialysis) if indicated. Nurses should also monitor for uremic symptoms (nausea, pruritus, confusion) and infection. Documentation includes fluid balance, electrolyte levels, and response to interventions. Patient education covers dietary restrictions and medication adherence. Early detection and management prevent progression to chronic kidney disease and reduce complications such as cardiac arrhythmias from hyperkalemia.

Break down complex topics into smaller, manageable chunks for easier recall.

Zambia

• Joseph Soko – 101 pts

• Visual Pathway Lesions
• Positive and Negative Symptoms
• Hallucinations and Delusions
• Antipsychotic Medications
• Emergency: Environmental Emergencies