Description of Patients Experiencing Hypervolemia with Chronic Kidney Failure at RSUD dr. Chasbullah Abdul Majid, Bekasi City

Evi Vestabilivy, Bunga Siska

Abstract

Chronic Kidney Failure is a progressive and irreversible end-stage kidney disease. Data obtained from medical records on the number of patients with CRF at dr. Chasbullah Abdulmajid Bekasi City from January to March 2023 reached 122 patients. The aim of the study was to obtain an overview of the implementation of nursing care in patients who experience hypervolemia with CRF at dr. Chasbullah Abdulmajid, Bekasi City. The research design used is descriptive qualitative. Participants in this case were 2 patients with the same medical diagnosis and sex. Nursing care was carried out for 3 days. After the assessment was carried out, the results showed edema in the extremities, abnormal respiration, red itchy spots, decreased hematocrit hemoglobin in laboratory tests, increased creatinine urea, and abdominal ultrasound. Based on the study, 5 nursing diagnoses were obtained with the same 4 diagnoses, namely hypervolemia associated with decreased renal filtration, ineffective peripheral perfusion associated with decreased hemoglobin concentration, risk of impaired skin integrity associated with uremia and anxiety associated with less exposure to information related to hemodialysis treatment. After carrying out 3x24-hour nursing actions, namely monitoring intake output, the diagnoses of Mr. R and Mr. C have not been resolved. There was a gap between the two patients, in Tn. R there were problems with nursing ineffective breathing patterns as evidenced by increased respiration. At Mr. C, acute pain is evidenced by a pain scale of 6. Suggestions for further researchers are to collect and validate complete data so as to get maximum results.