Nursing Care to Meet Fluid and Electrolyte Needs of Chronic Kidney Disease Patient
Abstract
Background: Chronic Kidney Failure (CKD) is a kidney function disorder that occurs gradually, cannot be recovered, and describes a decrease in urine production which results in an accumulation of fluid in the body. This can disrupt their fluid and electrolyte balance. In this regard, in Indonesia there are still many phenomena of non-compliance with fluid monitoring that occur. If this is left unchecked, it will result in a condition of overload or excess fluid in the patient. Fluid management is needed to fulfill the patient's fluid and electrolyte needs, so that changes in body weight and the results of the calculation of fluid balance can be controlled and become an illustration of meeting these needs.
Purpose: to explain nursing care to meet fluid and electrolyte needs in chronic kidney disease patients.
Methods: nursing care was carried out on patients with a diagnosis of chronic kidney disease who have impaired fluid and electrolyte requirements. The nursing intervention used to overcome this problem was fluid management. Data were collected from interviews and observations and further analysis was carried out.
Results: After three days nursing intervention, the results showed that the client's level of shortness of breath decreased, the blood pressure level was close to normal, fluid calculation close to balance, and the client's weight seemed stable.
Conclusion: fluid management was effective for monitoring fluid intake and output of chronic kidney disease patient.
Keywords
Full Text:
PDFReferences
Abuelo, J.G. (1999). Large Interdialytic Weight Gain : cause, consequences, and corrective measures. Seminar in dialysis.
Ambarwati, F. R. (2014). Konsep Kebutuhan Dasar Manusia. Yogyakarta : Dua Satria Offset
Angraini, Fany Putri, Arcellia F. (2016). Pemantauan Intake Output Cairan Pada Pasien Gagal Ginjal Kronik Dapat Mencegah Overload Cairan. Jurnal Keperawatan Indonesia : 152-160
Ariani S. (2016). Stop! Gagal Ginjal. Yogyakarta : Istana Medika
Alimul H, A. Aziz. 2008. Pengantar Kebutuhan Dasar Manusia Aplikasi Konsep
dan Proses Keperawatan. Jakarta: Salemba Medika.
Apriyaningsih, T. (2016). Asuhan Keperawatan pemenuhan kebutuhan cairan dan elektrolit dengan Gagal Ginjal Kronik. 1. Diakses melalui elib.stikesmohgombong.ac.id
Bare & Smeltzer. (2002). Buku Ajar Keperawatan Medikal Bedah. Brunner & Suddart (Alih bahasa Agung Waluyo). Edisi 8. Volume 3. Jakarta:EGC
Baxter, Editor. (2008). Stockley’s Drug Interactions. Eight Edition. London : Pharmaceutical Press.
Black, J. M. & Hawks, J. H. (2009). Medical- surgical nursing: Clinical management for positive outcomes ( 8th Ed.). St. Louis: Saunders Elsevier.
Butcher,B.W., & Liu,K.D. (2012). Fluid overload in AKI-F.piphenomonen or Putative Effect on Mortality. Curr Opin Crit Care. Author manuscript; araible in PMC.
Cianci, et al. (2009). Hypertension in hemodialysis. An Overview on Physiopathology and Therapeutic Approach in Adults and Childrens. The Open Urology & Nephrology Journal.
Dongoes, M.E., Moorhouse, M.F., & Murr, A.C. (2010). Nursing care plans:guideline for individualizing client care across the life span (8th Ed.). Philadelphia: F. A Davis Company.
.
Faruq, M.H. (2017). Upaya Penurunan Volume Cairan pada Pasien Gagal Ginjal Kronik. Diakses dari eprints.ums.ac.id pada tanggal 19 Desember 2020
Fisher, L. (2006). Psychological Intervention in Fluid Management. Diakses di http://proquest.umi.com/pqdweb?index=16&did=1456931461&Srchmode=1&sid=7&Fmt=6&VInst=PROD&VType=PQD&RQT=309&Vname=PQD&TS=1240993656&clientId=63928.
Halim & Yogyartono. (2012). Pruritus Uremic Pada Penyakit Ginjal Kronik. Majalah Kedokteran FK UKI 2012 Vo. XXVIII No.2.
Kusniati, Tri. (2017). Slideshare Nilai Normal Tanda-Tanda Vital. Diakses pada https://www.slideshare.net/trikusniati/nilai-normal-tanda-tanda-vital 23 Mei 2021.
Lopez-Gomez, J. M (2005). Interdialytic Weight Gain as Marker of Blood Pressure, Nutrition, and Survival in Hemodialysis Patients. International Society of Nephrology. 67 (93), S63-S68.
Luluk, U. Puji, K. Dewi,H, Sri, K & Widianingsih. (2020). Hubungan Durasi Hemodialisa dengan tekanan darah pasien gagal ginjal kronik di ruang hemodialisa RSI Pati. Indonesia Jurnal Perawat, Vol. 5, No.1.
Mansjoer, A. (2000). Kapita Selekta Kedokteran jilid I. Jakarta : Media Aesculapius.
Meilianna, R., & Wiarsih, W. (2013). Hubungan Kepatuhan Pembatasan Cairan Terhadap Terjadinya Overload pada Pasien Gagal Ginjal Kronik Post Hemodialisa. Diakses dari lib.ui.ac.id pada tanggal 10 Desember 2020.
Morton, P.G. (2014). Keperawatan kritis pendekatan asuhan holistik. Volume 1. Jakarta : EGC.
NANDA. (2018). NANDA-I Diagnosis Keperawatan : Definisi dan Klasifikasi 2018-2020. (T. H. Herdman & S. Kamitsuru, Eds.) (11th ed.). Jakarta: EGC.
Pace, R.C. (2007). Fluid management in patient on hemodialysis. Nephrplogy Nursing Journal September-October. Vol. 34, No. 5.
PPNI, T. P. (2017). Standar Diagnosis Keperawatan Indonesia (SDKI): Definisi dan Indikator Diagnostik ((cetakan III) 1st ed.). Jakarta: DPP.
PPNI. PPNI, T. P. (2018). Standar Intervensi Keperawatan Indonesia (SIKI): Definisi dan Tindakan Keperawatan ((cetakan II) 1st ed.). Jakarta: DPP.
PPNI. PPNI, T. P. (2019). Standar Luaran Keperawatan Indonesia (SLKI): Definisi dan Kreteria Hasil Keperawatan ((cetakan II) 1st ed.). Jakarta: DPP PPNI.
Priska, N. & Herlina,S. (2019). Efikasi Diri Pembatasan Cairan Terhadap Intradialytic Weight Gain Pasien Gagal Ginjal Kronik Di Ruang Hemodialisa RSUD Pasar Minggu. Jurnal Ilmiah Ilmu Keperawatan Indonesia. Volume 09. 601-608.
Rustiawati, E. (2012). Dietary Intake Monitoring Application ( DIMA) Untuk Evaluasi Asupan Cairan Dan Diet Bagi Pasien Hemodialisa.
Sapri, A (2004). Faktor-faktor yang mempengaruhi kepatuhan dalam mengurangi asupan cairan pada penderita gagal ginjal kronik yang menjalani hemodialisis di RSUP Dr. H. Abdul Moelek Bandar Lampung. http://indonesianursing.com/2008
Satria E.N dan Dessy R.H. (2016). Hubungan Lama Menjalani Hemodialisis dengan Frekuensi Pernafasan pada Pasien Gagal Ginjal. Diakses melalui http://ojs.unik-kediri.ac.id/index.php/nsj/article/view/832/772
Sari, L.R. (2016). Upaya mencegah kelebihan volume cairan pada pasien chronic kidney disease. 4. Diakses dari http://jurnal.usu.ac.id
Setyaningrum, S. (2016). Pemberian posisi kaki ditinggikan 30 derajat diatas tempat tidur terhadap penurunan edema kaki. 17. Diakses dari digilib.stikeskusumahusada.ac.id
Sharaf, A. Y. (2016). The Impact of Educational Interventions on Hemodialysis patient's Adherence to Fluid and Sodium Restriction. IOSR Journal of Nursing and Health Science (IOSR-JNHS). 2016; 50 – 60.
Siti, F. (2016). Studi Potensi Interaksi obat pada terapi pasien Penyakit Ginjal Kronis (PGK) di Instalasi rawat inap RSUD Jombang. Diakses melalui http://etheses.uin-malang.ac.id/13492/1/13670058.pdf
Sitanggang, Sartika (2009). Pengaruh Terapi Perilaku Kgonitif terhadap pembatasan asupan cairan pasien hemodialisa di RSUP H. Adam malik Medan. Diakses di http://repository.usu.ac.id/handle/123456789/1668?mode=full&submit_simple=Show+full+item+record.
Smeltzer, S.C, Bare, B.G, Hinkle, J.L., Cheever. K.H. (2010). Brunner & Suddarth’s Texbook of Medical Surgical Nursing. Philadelphia : Lipincott William & Wilkins.
Sullivan, D., McCarthy,G. (2009). Exploring the symptom of fatigue in patients with end stage renal disease. Neprhology Nursing Journal.
Suryarinilsih, Yosi. (2010). Hubungan penambahan berat badan antara dua waktu dialisis dengan kualitas hidup pasien hemodialisis di rumah sakit Dr. M. Djamil Padang. Universitas Indonesia.
DOI: https://doi.org/10.31983/jnj.v5i1.6954
Article Metrics
Refbacks
- There are currently no refbacks.
License URL: https://creativecommons.org/licenses/by-sa/4.0/
JENDELA NURSING JOURNAL is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.