ASUHAN KEPERAWATAN DENGAN KELEBIHAN VOLUME CAIRAN PADA PASIEN GAGAL GINJAL KRONIS DI RSU ANWAR MEDIKA SIDOARJO

Abstract

A physiological condition of kidney failure to retain sodium and fluids that results in the kidneys beingunable to concentrate or dilute urine normally, retained fluids and sodium can cause the risk of edema. Excess liquid volume is over dehydration or excess extracellular volume which is usually referred to as the third fruid shift. The retained water and sodium are in the same proportion as the proportion in other CES roms. The aim of this study is to carry out nursing care with excess fluid volume in chronic renal failure clients. The design of this case study is descriptive. Data collection methods used were interviews, observation, physical examination, the results were written in teh from of field notes and then documented. Participant taken were 2 clients who had chronic kidney failure with excess fluid volume with the results of the maximum 1 day treatment criteria, the client was conscious and operative, and withno other ballast problems. Implementation carried out 3x24 hours includes identifying signs and symptoms of hypervolemia, monitoring intake and output, monitoring TTV ( vital signs), weighing each weight before dialysis (if possible ), giving HE abaut drinking restrictions for24 hours, collaborating drug administration diuretic or non deuretic. Expected results expected. The effectiveness in providing nursing care aside from theactions of the nurse but also from the response and co-operative of the patient in receiving the action for improved fluid balance.