Potential Nursing Dx for pt with AKI

Question 1

Fluid volume excess R/T OLIGURIC phase of ATN

Answer 1

1. Monitor I&O
2. Daily weights
3. Monitor serum/urine sodium
4. Monitor BP/HR
5. Monitor respirations/lung sounds
6. Check for peripheral edema
7. Diuretics/fluid replacement as ordered

Question 2

Fluid volume deficit R/T DIURETIC phase of ATN

Answer 2

1. Monitor as above
2. Fluid and electrolyte replacement
   - Prev 8 hours output plus 200 for insensible loss (sweating, breathing)
   - Appropriate replacement