| dc.description.abstract | Introduction: Chronic Kidney Disease (CKD) is a progressive and irreversible
decline in kidney function and a decreased Glomerular Filtration Rate (GFR).
Decreased kidney function contributes to decreased water excretion and fluid
overload caused by decreased GFR. A progressive decrease in GFR in renal
disease leads to hypertension, sodium retention, and fluid overload. Discussion:
CKD is kidney damage or also defined as a decrease in glomerular filtration rate
(GFR) of less than 60 ml/minute/1.73m
Corresponding
Author:
Ika Ainur Rofi’ah
e-mail:
[email protected]
Faculty of Health
Science, Bina Sehat
PPNI University,
Mojokerto City, East
Java, Indonesia
2
that occurs for 3 months or more. CKD
is most caused by Diabetes Mellitus 64.1% and Hypertension 80.7%. One clinical
manifestation in patients with CKD is an increase in fluid volume (hypervolemia).
Hypervolemia is one of the nursing problems in the nursing care process. Based
on the Indonesian Nursing Diagnosis Standard Book, hypervolemia is an increase
in intravascular, interstitial, and/or intracellular fluid volume. The etiology of
hypervolemia in CKD patients is a regulatory mechanism disorder associated with
decreased GFR. Signs and symptoms both major and minor in hypervolemia
nursing problems show that most patients have peripheral oedema of 53.8%, the
prevalence of anemia is 52.3%, the prevalence of Haemoglobin 7-10 mg/dl is
68.3%, and the prevalence of oliguria is 16.3%. One of the actual nursing
diagnosis in patients with CKD is hypervolemia related to the disturbance of
regulatory mechanisms (a decrease in GFR). A progressive decrease in GFR can
lead to sodium and fluid retention which causes fluid balance disturbances. | en_US |
