ISAHAWITI, S.Kep (2024) ASUHAN KEPERAWATAN KRITIS GANGGUAN SISTEM PERKEMIHAN, CKD STAGE 5 DENGAN MASALAH KEPERAWATAN UTAMA GANGGUAN PERTUKARAN GAS PADA NY.YN DI RUANG ICU RSUD MUARA TEWEH. Other thesis, STIKES SUAKA INSAN.
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Abstract
ASUHAN KEPERAWATAN KRITIS GANGGUAN SISTEM PERKEMIHAN, CKD STAGE 5 DENGAN MASALAH KEPERAWATAN UTAMA GANGGUAN PERTUKARAN GAS PADA NY.YN DI RUANG ICU RSUD MUARA Isahawiti1 Warjiman2 Email: [email protected] INTISARI Latar Belakang: Penderita Chronic Kidney Disease (CKD) merupakan gangguan fungsi renal yang progresif dan irreversible dimana kemampuan tubuh gagal untuk mempertahankan metabolisme, keseimbangan cairan dan elektrolit, menyebabkan uremia (retensi urea dan sampah nitrogen lain dalam darah). (Nuari dan Widayati, 2017). Pada temuan kasus di RSUD Muara Teweh, dimana Pasien Ny.YN dengan diagnosa medis CKD stage 5 dirawat di ruang ICU dengan sesak, bengkak pada kedua kaki dan badan terasa lemah, TD: 195/130 mmHg, N: 113 x/menit, R: 34 x/menit, S: 36.5 C, SpO2 93% simple mask 6 lpm, terdapat pitting oedema derajat 2 pada kedua ekstremitas bawah. Diagnosa keperawatan utama adalah gangguan pertukaran gas. Salah satu penanganan yang umumnya diberikan adalah dengan memberikan oksigenasi, pengaturan posisi semifowler serta pemberian diuretik Tujuan: Melaksanakan asuhan keperawatan kritis pada pasien Ny.YN dengan diagnosa keperawatan prioritas gangguan pertukaran gas pada pasien CKD stage 5 Metode: Melakukan proses asuhan keperawatan dari pengkajian, menentukan diagnosa, intervensi, implementasi dan evaluasi berdasarkan evidence based practice dengan memberikan pengaturan posisi semi fowler. Teknik pengumpulan data yang di gunakan antara lain: wawancara, observasi dan pemeriksaan fisik Hasil: Tindakan Dukungan Ventilasi dengan oksigenasi, pengaturan posisi semifowler dan kolaborasi pemberian diuretik (inj.furosemide) dapat mengatasi masalah keperawatan gangguan pertukaran gas. Kesimpulan: pada kasus CKD stage 5 dengan gangguan pertukaran gas dengan oksigenasi, pengaturan posisi semi fowler dan kolaborasi pemberian diuretik teratasi sebagian Kata Kunci: gangguan pertukaran gas, oksigenasi, semi fowler, furosemide ¹Mahasiswa Sekolah Tinggi Ilmu Kesehatan Suaka Insan Banjarmasin ²Dosen Sekolah Tinggi Ilmu Kesehatan Suaka Insan Banjarmasin CRITICAL CARE NURSING FOR URINARY SYSTEM DISORDERS, CKD STAGE 5 WITH GAS EXCHANGE PROBLEM AS THE PRIORITY NURSING DIAGNOSE OF Mrs.YN IN THE ICU WARD OF MUARA TEWEH GENERAL HOSPITAL IN 2024 Isahawiti1 Warjiman2 Email: [email protected] ABSTRACT Background: Chronic Kidney Disease (CKD) is a progressive and irreversible disorder of renal function where the body's ability fails to maintain metabolism, fluid and electrolyte balance, causing uremia (retention of urea and other nitrogenous waste in the blood) (Nuari dan Widayati, 2017). In the case findings at Muara Teweh general Hospital, Mrs. YN, patient with CKD stage 5 as a medical diagnosis of was treated in the ICU with shortness of breath, swelling in both legs and both eyelid and feel of weakness on her body, blood pressure: 195/130 mmHg RR : 34 x/minute, S: 36.5 C, SpO2 93% simple mask 6 lpm, there is 2nd degree pitting edema in both lower extremities. The primary nursing diagnose is gas exchange problems One of the treatments that is generally given is providing oxygenation, setting the semi-Fowler position and the use of diuretic therapy. Objective: To carry out critical nursing care for the patient Mrs. YN with exchange gas problem as a primary nursing diagnose in patient with CKD stage 5 medical diagnose Method: Carry out the nursing care process from assessment, determining diagnosis, intervention, implementation and evaluation based on evidence based practice by providing oxygenation therapy, and setting the semi-Fowler position. Data collection techniques used include: interviews, observation and physical examination Results: Supportive Ventilation with oxygenation, setting the semi-Fowler's position and collaborating with the administration of diuretics ( furosemide injection) can resolved the gas exchange problem. Conclusion: in cases of CKD stage 5 with gas exchange problems with oxygenation management, setting the semi-fowler position and collaborating with the administration of diuretics partially resolved Keywords: gas exchange problem, oxygenation, semi fowler ¹Student of Suaka Insan Banjarmasin School of Health Sciences ²Lecturer at Asylum in Banjarmasin High School of Health Sciences
| Item Type: | Thesis (Other) |
|---|---|
| Divisions: | Profesi Ners |
| Depositing User: | Abdul Kadir S.Kom |
| Date Deposited: | 18 Nov 2024 01:13 |
| Last Modified: | 18 Nov 2024 01:13 |
| URI: | https://repository.stikessuakainsan.ac.id/id/eprint/526 |
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