bddd256a_rsing_Diagnoses_Renal_Function__Nursing_Process
[Nursing diagnoses] Alterations in health maintenance related to adjustment of medications [Nursing Process] 
Patients with elevated creatinine and BUN levels may require adjustments in medication dosages. Renal dysfunction interferes with the excretion of many drugs and prolongs the effect of the drug in the bloodstream. For example, diabetics need less insulin as renal function decreases. Other common drugs that have a prolonged effect in clients with compromised renal function are digoxin, phenothiazines, meperidine, and some antibiotics. The nurse must be aware of potential medication overdoses in the patient with an abnormally high creatinine and BUN. The creatinine clearance test may be ordered to obtain an objective evaluation of the actual extent of renal damage so that doses of maintenance drugs can be calculated accurately.
Nursing Diagnoses/Renal Function
Nursing Process