Implementasi Manajemen Hipervolemia Pada Pasien Chronic Kidney Disease Dengan Masalah Hipervolemia Di Rumah Sakit Umum Derah Andi Makkasau Parepare

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Latar Belakang : Pada CKD, terjadi gangguan dalam kemampuan ginjal yang mana mempertahankan homeostasis cairan. Ginjal tidak dapat menyerap kembali air dan natrium secara efektif, atau sebaliknya tidak mampu mengekskresinya saat kelebihan. Hal ini menyebabkan pasien sangat rentan terhadap gangguan volume cairan tubuh, termasuk hipovolemia Tujuan Penelitian : Untuk menggambarkan asuhan keperawatan pada psien Chronic Kidney Disease dengan masalah hipervolemia Di Rumah Sakit Umum Derah Andi Makkasau Parepare Metode Penelitian : yang digunakan dalam studi kasus ini adalah metode deskriptif dengan pemaparan kasus.Subjek Penelitian : sebanyak dua responden yaitu Ny.I dan Ny.R. Hasil Penelitian yaitu setelah dilakukan asuhan keperawatan selama 3x24 jam didapatkan  hasil pada Ny.I , yaitu data subjektif, Pasien mengatakan kedua kakinya sudah tidak terlihat bengkak, Pasien mengatakan baknya sudah tidak sedikit, Pasien mengatakan tidak lagi nyeri pada perut, Pasien sudah tidak sesak, Pasien dalam posisi semi fowler, Frekuensi 20x/menit, Spo2 97%. dan Ny. R didapatkan hasil, data subjektif yaitu, Pasien mengatakkan sudah tidak sesak, Keluarga pasien mengatakan pasien sudah jarang buang air kecil , Frekuensi napas 20x/menit, Kedua kaki masih terlihat edema Kedua tangan masih terlihat edema. Kesimpulan : dengan memberikan manajemen hipervolemia hipervolemia  pada pasien Chronic Kidney Disease dapat diatasi secara perlahan. Evaluasi keperawatan pada pasien 1 (Ny.I) dan pasien 2 (Ny.R)  ditemukan Hasil Evaluasi: : Edema menurun (5), Asupan cairan meningkat (5), Berat badan membaik (5) Saran : disarankan bagi peneliti selanjutnya agar dapat menerapkan manajemen hipervolemia untuk memaksimalkan hasil yang akan dicapai dalam mengatasi hipervolemia pada pasien Chronic Kidney Disease

Kata Kunci : Chronic Kidney Disease, Manajemen hipervolemia, Hipervolemia

ABSTRACT

Background: In CKD, there is a disturbance in the kidney's ability to maintain fluid homeostasis. The kidneys cannot reabsorb water and sodium effectively, or conversely are unable to excrete it when in excess. This makes the patient very susceptible to fluid volume disorders, including hypovolemia. Research Objective: To describe nursing care for Chronic Kidney Disease patients with hypervolemia problems at Andi Makkasau Parepare Regional General Hospital. Research Method: used in this case study is a descriptive method with case presentation. Research subjects: two respondents, namely Mrs. I and Mrs. R. The Results Of The Study were that after nursing care for 3x24 hours, the results were obtained in Mrs. I, namely subjective data, The patient said that the shortness of breath had decreased, The patient said that she did not feel nauseous and vomited, The patient said that she no longer had abdominal pain, The patient was no longer short of breath, The patient was in a semi-fowler position, Frequency 20x/minute, Spo2 97%. and Mrs. R obtained results, subjective data, namely, The patient said that she was no longer short of breath, The patient's family said that the patient rarely urinated, The respiratory rate was 20x/minute, Both legs still looked edematous Both hands still looked edematous. Conclusion: by providing hypervolemia management, hypervolemia in Chronic Kidney Disease patients can be overcome slowly. Nursing Evaluation of patient 1 (Mrs. I) and patient 2 (Mrs. R) found the following evaluation results: Edema decreased (5), Fluid intake increased (5), Body weight improved (5) Suggestion: It is recommended for further researchers to apply hypervolemia management to maximize the results to be achieved in overcoming hypervolemia in Chronic Kidney Disease patients

Keywords: Chronic Kidney Disease, Hypervolemia management, Hypervolemia