ASUHAN KEPERAWATAN KLIEN DENGAN PERFUSI PERIFER TIDAK EFEKTIF PADA KASUS GAGAL GINJAL KRONIK DI RSU Dr.WAHIDIN SUDIRO HUSODO KOTA MOJOKERTO

Abstract

Chronic kidney failure is one of the health problems of populations around the world. According to the United State Renal Data System in the United States the prevalence of chronic kidney disease increases by 20-25% every year. Indonesia is the third highest country in Asia with the highest CKD after India and China. From chronic kidney failure can cause complications, namely anemia, the main factor of anemia is due to the inability of the kidneys to secrete erythroproteins to stimulate adequate hemotopoesis. Anemia is a condition of the body characterized by deficiencies in the size and number of erythrocytes or in hemoglobin levels that are insufficient for the function of O2 and CO2 formation in the blood tissue so that it can cause impaired peripheral tissue perfusion in renal tissue perfusion, which is marked by the patient looking pale, cyanosis and decreased skin turgor.The general objective of this study is to conduct Nursing Care for Peripheral Tissue Perfusion Disorders in Chronic Kidney Failure Cases in Dr.WAHIDIN SUDIRO HUSODO MOJOKERTO CITY District Hospital. The research method used is descriptive in the form of case studies. Participants in this case were 1 participant with ineffective peripheral perfusion problems. Data collection techniques included interviews, physical examinations, and documentation. From the assessment data, the patient was diagnosed with kidney disease since 2018 and only started dialysis since 3 years agothen, routine dialysis twice a week, body weakness, shortness of breath, dizziness, CRT> 2 seconds, peripheral pulse decreased or not palpable, acral palpable cold, anemic conjunctiva, pale skin color and edema in the lower extremities After making plans, researchers carried out nursing actions according to plan ie Check peripheral circulation, identify laboratory tests required, identify transfusion plans, Monitor required laboratory results, Monitor vital signs, Monitor transfusion reactions, Give NaCl 0.9% 50100 mL before transfusion, Explain signs and symptoms of a transfusion reaction that need to be reported. The results of the evaluation after the nursing action was carried out for 3 days showed the results of the problem partially resolved with the results of HB experiencing an increase even though not within normal limits, no longer short of breath. CRT <2 seconds. In the case of ineffective peripheral perfusion performed blood transfusion PRC and provide additional oxygen appropriately then it can overcome ineffective peripheral perfusion.