00203 Risk for ineffective renal perfusion

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00203 Risk for ineffective renal perfusion

This diagnosis lacked sufficient differentiation from other cardiovascular diagnoses within the terminology.

Definition of the NANDA label

Risk of decreased renal blood circulation that can compromise health.

Related factors

• Abdominal compartment syndrome.
• Advanced age.
• Bilateral cortical necrosis.
• Burns.
• Heart surgery.
• Cardiopulmonary bypass.
• Mellitus diabetes.
• Exposure to toxins.
• Female glomerulonephritis.
• Hyperlipidemia.
• Hypertension.
• Hypovolemia.
• Hypoxemia.
• Hypoxia.
• Infection (eg, sepsis, localized infection).
• Malignancy.
• Malignant hypertension.
• Metabolic acidosis.
• Multiple trauma.
• Pyelonephritis.
• Renal artery stenosis.
• Kidney disease (polycystic kidney).
• Smoking.
• Systemic inflammatory response syndrome (SIRS).
• Treatment-related side effects (eg, medications).
• Vasculitis due to vascular embolism.

NOC

• Circulatory state.
• Status of vital signs.
• Neurological status.
• Electrolyte and acid-base balance.
• Water balance.
• Hydration.
• Sensitive function: cutaneous.
• Tissue integrity: skin and mucous membranes.
• Tissue perfusion: peripheral.
• Urinary elimination.

NIC

• Management of dysrhythmia.
• Shock management: cardiac.
• Hemodynamic regulation.
• Circulatory precautions.
• Management of vital signs.
• Improved cerebral perfusion.
• Neurological monitoring.
• Electrolyte management.
• Fluid / electrolyte management.
• Handling of liquids.
• Peritoneal dialysis therapy.
• Hemodialysis therapy.
• Hemofiltration therapy.
• Management of urinary elimination.
• Probing.

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