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Nursing Care Plan For Fatigue Related To Renal Failure

2013-04-08 14:44

renal failure fatigueRenal failure patients are very easy to become tired even shortly after mild activities and it seems that having good rest can not ease the tiredness. Fatigue caused by renal failure is mainly due to excess toxins in the body and low red blood cell count due to lack of erythropoietin produced by the kidneys.

Red blood cells can carry oxygen and nutritions to our body’s cells and tissues. Damaged kidneys can not produce enough erythropoietin to stimulate the bone marrows to generate red blood cells. As a result, the cells and tissues can not get adequate supply of blood, oxygen and nutritions, that is why patients will feel weak and tired. High toxic levels in the blood will further shorten the life span of the red blood cells and damage the normal functions of bone marrows.

Besides fatigue and weakness, patients often feel cold and their immunity is very low.

Therefore to effectively alleviate fatigue related to renal failure , patients should try to remove toxic wastes from the body, treat anemia and enhance immune functions. A well-planed nursing care plan including diets, exercises, drugs and home remedies can help a lot.


Renal failure patients need to have more foods that are high in iron, vitamins, folic acid which can help relieve anemia and fight against fatigue. Fresh vegetables and fruits are good choices because they are rich sources of various vitamins.

Protein intake should be limited because protein breakdown needs to be discharged through the kidneys. A protein-controlled diet can help reduce burdens to the kidneys and protect residual kidney functions.


Drugs that can stimulate the production of red blood cells such as Aranesp so as slow down advance of fatigue associated with renal failure and renal anemia.


Proper and regular exercises can help the body burn fuel so as to provide enough energies. Exercises can also help build physical health, improve immunity and strengthen disease-resistance ability.

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