PENERAPAN FLUID MANAGEMENT PADA PASIEN DENGUE HEMORRAGHIC FEVER (DHF) DENGAN MASALAH KEPERAWATAN RISIKO HIPOVOLEMIA (di UGD Puskesmas Lembeyan Magetan)

Hypovolemia was one of the major complications in patients with Dengue Hemorrhagic Fever (DHF) caused by plasma leakage, leading to decreased intravascular volume and an increased risk of shock and impaired tissue perfusion. Fluid management was an essential nursing intervention to maintain hemodynamic stability, prevent hypovolemic shock, and improve tissue perfusion. This study aimed to describe the effectiveness of fluid management implementation in patients with DHF who had a nursing problem of risk for hypovolemia in the Emergency Unit of Lembeyan Public Health Center, Magetan.
This study used a case study approach through the nursing care process in one pediatric patient aged 6 years who presented with high fever for 3–4 days accompanied by signs of dehydration, including decreased skin turgor, dry mucous membranes, prolonged capillary refill time, tachycardia, and laboratory findings indicating hemoconcentration. The interventions were conducted for five days and included monitoring vital signs, assessing hydration status, recording fluid intake and output, administering intravenous crystalloid and oral fluids according to clinical conditions, providing family education, and collaborating in laboratory examinations.
The results showed a gradual improvement in the patient’s clinical condition, as indicated by stable vital signs, improved skin turgor and capillary refill time, increased urine output to an adequate level, and the absence of complications during treatment. Fluid management was proven to be safe and effective in managing the risk of hypovolemia in patients with DHF and supported evidence-based nursing practice in primary health care settings.