Asuhan Keperawatan Pada Klien Gagal Ginjal Akut Dengan Masalah Kelebihan Volume Cairan Di Rsud Bangil Pasuruan

Nadhiroh, Indatul (2019) Asuhan Keperawatan Pada Klien Gagal Ginjal Akut Dengan Masalah Kelebihan Volume Cairan Di Rsud Bangil Pasuruan. Diploma thesis, STIKes Insan Cendekia Medika Jombang.

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Abstract

Ginjal mempunyai peran dan fungsi untuk mengatur keseimbangan cairan dalam tubuh, mengatur konsentrasi garam dalam darah, keseimbangan asam basa dalam darah dan ekresi bahan buangan seperti urea dan sampah nitrogen lain didalam darah. Bila ginjal tidak mampu bekerja sebagaimana mestinya maka akan timbul masalah kesehatan yang berkaitan dengan penyakit gagal ginjal kronik seperti Kelebihan volume cairan. Tujuan studi kasus ini adalah melaksanakan asuhan keperawatan pada klien gagal ginjal akut dengan masalah kelebihan volume cairan. Desain penelitian ini menggunakan pendekatan deskriptif. Partisipan yang digunakan adalah 2 klien yang didiagnosa medik mengalami gagal ginjal akut dengan masalah kelebihan volume cairan, data dikumpulkan dari hasil wawancara,observasi dan dokumentasi. Hasil penelitian didapatkan sebagai berikut berdasarkan data pengkajian diketahui bahwa Tn.S mengeluhkan kakinya bengkak, BAK sedikit dan jarang, yang didukung dengan data obyektif RR: 24x/mnt, TD: 110/70 mmhg, di pergelangan kaki derajat 3 mengalami pitting edema, adanya nafas tambahan ronchi sedangkan Tn.M mengatakan kaki benngka, BAK sedikit 70cc, yang didukung data obyektif RR: 20x/mnt, TD: 120/80 mmhg, edema pada kaki kanan dan kiri, ada nafas tambahan ronchi. Diagnosa yang diterapkan adalah gagal ginjal akut dengan masalah kelebihan volume cairan. Intervensi keperawatan yang dilakukan pada kelebihan volume cairan disusun berdasarkan kriteria NIC NOC tahun 2015 yang meliputi monitor intake output dan monitor tekanan darah. Implementasi keperawatan pada Tn.S dan Tn.M dikembangkan dari hasil kaji intervensi yang dilakukan selama 3 kali pertemuan. Kesimpulan hasil dari evaluasi yang dilakukan selama 3 kali pertemuan maka pada klien 1 dan klien 2 masalah belum teratasi sebagian sehingga kedua klien masih memerlukan implementasi lanjutan karena masalah belum teratasi seluruhnya. Kata kunci : Asuhan keperawatan,gagal ginjal akut,kelebihan volumecairan.

Item Type: Thesis (Diploma)
Uncontrolled Keywords: Asuhan keperawatan,gagal ginjal akut,kelebihan volumecairan
Subjects: R Medicine > RT Nursing
Divisions: Program Studi > D3 Keperawatan
Depositing User: User1
Date Deposited: 10 Sep 2019 14:01
Last Modified: 11 Jan 2021 10:15
URI: http://repository.itskesicme.ac.id/id/eprint/2099

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