Abstract:
Kidney failure is the kidney loses its ability to maintain the volume and composition of body fluids in a state of normal food intake. Chronic renal failure occurs when the kidneys are no longer able to maintain an internal environment consistent with life and restoration of function does not begin. The purpose of this study is to carry out nursing care for clients who experience chronic kidney failure with nursing problems at risk of electrolyte imbalance at Anwar Medika Krian Sidoarjo General Hospital. This research uses a case study method which is carried out by direct observation, data collection, data analysis and reporting the results to obtain a deep understanding of why something happens and can be the basis for further research. The conclusion from the results of the study of the gap between the theoretical concept and the cases found, the data contained from the theoretical concept but not found in the cases, namely: Impaired gas exchange due to pulmonary congestion, decreased cardiac output, peripheral decline resulting in lactic acidosis, acute pain related to physical injury , Imbalanced nutrition less than body requirements related to anorexia, nausea and vomiting, dietary restrictions, and changes in oral mucous membranes, Ineffective peripheral tissue perfusion related to weakened blood flow throughout the body, activity intolerance related to fatigue, anemia, retention of waste production, while the data found in cases and contained in the theoretical concept, namely the risk of fluid imbalance related to fluid and sodium retention and excess fluid volume related to decreased urine output, excess diet and fluid and sodium retention. It is expected that clients and families by providing nursing care and counseling can add experience to care, prevention and treatment for clients with nursing problems at risk of fluid imbalance: kidney failure
