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All Journal Majalah Keperawatan Unpad Novum : Jurnal Hukum Jurnal Keperawatan Padjadjaran Jurnal Keperawatan Komprehensif Journal of Maternity Care and Reproductive Health Jurnal Medika Cendikia (e-Journal) Advice: Jurnal Bimbingan dan Konseling Jurnal Akuntansi Syariah (JAkSya) Padjadjaran Acute Care Nursing Journal (PACNJ) Imara: Jurnal Riset Ekonomi Islam
Nita Fitria
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Religion Humanities Biochemistry, Genetics & Molecular Biology Chemistry Economics, Econometrics & Finance Education Environmental Science Health Professions Immunology & microbiology Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Neuroscience Nursing Physics Public Health Social Sciences Other

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Journal : Padjadjaran Acute Care Nursing Journal (PACNJ)

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Management of Hypervolemia In Chronic Kidney Disease Stage 5 At Sumedang Hospital: A Case Study Annisa Nurbaiti Rahmah; Eka Afrima Sari; Nita Fitria
Padjadjaran Acute Care Nursing Journal Vol 3, No 3 (2022): Padjadjaran Acute Care Nursing Journal
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (324.749 KB) | DOI: 10.24198/pacnj.v3i3.46161

Abstract

Kidney failure results in the body being unable to remove metabolic wastes and accumulate in the body. Decreased kidney function results in sodium retention, where high sodium will cause water to be retained to maintain balance. This can lead to hypervolemia. Patient M came to the hospital with complaints of shortness of breath, during the study, there was edema in both lower extremities with degree 2 and in both upper extremities with degree 1, the patient also appeared to have ascites. Previously, patient M was diagnosed with stage 5 chronic kidney failure and did not complete the 4th hemodialysis cycle because the patient's condition worsened. Hypervolemia in patients with kidney failure will have adverse effects including pulmonary edema, hypertension, and even heart disease. Therefore it is necessary to manage hypervolemia to prevent complications in patients. The general aim of writing this case study is to address the management of hypervolemia in stage 5 chronic kidney failure patients at the Sumedang Regional General Hospital. The results of the case study found that the nursing problem that arose in patients was hypervolemia. The interventions provided are managing hypervolemia in the form of examining signs and symptoms of hypervolemia, monitoring the patient's hemodynamic status, monitoring the patient's fluid intake and output, teaching the patient to limit fluid and salt intake, and collaborating with Lasix 1x40 mg. Evaluation results after managing hypervolemia for 3 days, decreased tightness, degree of edema remained at degree 2 in the lower extremities and upper extremities, increased abdominal circumference by 1 cm, and increased body weight from 0.5 Kg to 68.5 kg, it can be concluded that hypervolemia nursing problem has not been resolved.
Co-Authors Annisa Nurbaiti Rahmah Dede Rina Efri Widianti Eka Afrima Sari ELFINA YENTI Hendrawati Hendrawati Iyus Yosep Nofrivul Nofrivul Nur Oktavia Hidayati Sri Dina Handayani Sulastini, Sulastini Suryani Suryani Taty Hernawati Taty Hernawaty Yelsi Wanti Zihan Rahminabillah