Ok, I am trying to come up with NDs but the only ones that I have found are those, which are mostly risk for and not actual:
Run down: The patient is 42, Male, has end stage renal failure on dyalisis, cortisol and ACTH deficiency because of total protidectomy a few months ago, hypothyroidism, chronic constipation, htx of pancreatitis, chronic N&V, chronic constipation, and htx of hypocalcemia.
-Risk for fluid volume excess R/T compromised regulatory mechanism secondary to renal failure. (No edema, no ascites, 5 10 and 160 lbs)
-Ineffective health maintenance R/T spiritual distress secondary to illness (came to hosp. with K of 5.5 b/c missed dyalisis.
-Risk for decreased cardiac output R/T altered contractility secondary to hyperkalemia and hypocalcemia.
-Ineffective copin R/T chronic illness.
I don't know why but I feel I am missing something and also, my defining characteristics are like 1 or 2. Any ideas? Thanks a bunch!