.RENAL_OBS

Renal observation: I&O {balance vs parameter}, weight {## vs dry-weight target}, volume status ({edema/lungs/BP}), no uremic symptoms / {symptoms}. On renal diet + {binder/med}. Skilled fluid-electrolyte surveillance required daily. Supports Section I; renal goal {###}.

.RENAL_ACCESS

Dialysis access ({AV fistula/graft/catheter}, {site}): thrill {present}, bruit {audible}, access limb protected (no BP/venipuncture), site {status}. Dialysis schedule {days}; post-dialysis status {stable}. Skilled access assessment required. Supports Section O dialysis item.

.RENAL_OVERLOAD

Volume overload: weight {##} (gain {##}), edema {grade}, lungs {crackles}, {dyspnea}, urine output {reduced}. Provider/dialysis unit notified; fluid/sodium reviewed; {labs}; respiratory/cardiac monitoring. Reassess {when}. (Dialysis overlay.)