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.
