ASUHAN KEPERAWATAN PADA PASIEN GAGAL GINJAL KRONIS DENGAN MASALAH KEPERAWATAN HIPERVOLEMIA

Syahbanaa, Anjaa (2025) ASUHAN KEPERAWATAN PADA PASIEN GAGAL GINJAL KRONIS DENGAN MASALAH KEPERAWATAN HIPERVOLEMIA. D3 thesis, Universitas Muhammadiyah Ponorogo.

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Abstract

ABSTRAK
ASUHAN KEPERAWATAN PADA PASIEN GAGAL GINJAL KRONIS DENGAN MASALAH KEPERAWATAN HIPERVOLEMIA
(Di ruang Seruni RSUD dr. Harjono Kabupaten Ponorogo tahun 2025)
oleh:
Anjaa Syahbanaa
NIM 22613479
Hipervolemia merupakan kondisi peningkatan volume cairan intravaskular, interstisial, dan/atau intraselular akibat gangguan fungsi ginjal, seperti pada pasien Gagal Ginjal Kronis (GGK). Keadaan ini dapat menyebabkan berbagai gejala seperti edema, sesak napas, tekanan darah meningkat, serta risiko komplikasi jantung. Jika tidak segera ditangani, hipervolemia dapat memperberat kondisi pasien dan menurunkan kualitas hidupnya. Penulisan karya tulis ilmiah ini bertujuan untuk melaksanakan asuhan keperawatan pada pasien dengan gagal ginjal kronis yang mengalami hipervolemia. Metode yang digunakan adalah studi kasus dengan pendekatan proses keperawatan meliputi: pengkajian, diagnosa keperawatan, perencanaan, implementasi, dan evaluasi.
Hasil pengkajian menunjukkan pasien mengalami sesak napas, edema pretibial, tekanan darah meningkat, dan penurunan produksi urin. Hasil laboratorium menunjukkan ureum 198 mg/dL dan kreatinin 19,14 mg/dL. Diagnosis keperawatan yang ditegakkan adalah hipervolemia berhubungan dengan gangguan mekanisme regulasi ditandai dengan edema pada ekstremitas bawah. Implementasi keperawatan dilakukan selama 3 hari mulai tanggal 10 Mei 2025. Tindakan meliputi monitoring intake-output cairan, pembatasan cairan dan natrium, posisi semi-Fowler, edukasi keluarga, serta kolaborasi pemberian diuretik. Hasil evaluasi menunjukkan adanya perbaikan yaitu penurunan sesak napas, edema berkurang, dan peningkatan kesadaran pasien dalam mengontrol cairan.Asuhan keperawatan yang diberikan terbukti efektif dalam mengatasi hipervolemia dan meningkatkan kondisi klinis pasien dengan Gagal Ginjal Kronis (GGK).

Kata kunci: Gagal Ginjal Kronis, Hipervolemia, Asuhan Keperawatan pasien hipervolemia

ABSTRACT
NURSING CARE FOR CHRONIC KIDNEY FAILURE PATIENTS WITH HYPERVOLEMIA NURSING PROBLEMS
(In the Seruni room of Dr. Harjono Regional Hospital, Ponorogo Regency in 2025)
by:
Anjaa Syahbanaa
NIM 22613479
Hypervolemia is a condition of increased intravascular, interstitial, and/or intracellular fluid volume due to impaired kidney function, such as in patients with Chronic Kidney Failure (CKF). This condition can cause various symptoms such as edema, shortness of breath, increased blood pressure, and the risk of heart complications. If not treated immediately, hypervolemia can worsen the patient's condition and reduce their quality of life. The purpose of writing this scientific paper is to carry out nursing care in patients with chronic kidney failure who experience hypervolemia. The method used is a case study with a nursing process approach including: assessment, nursing diagnosis, planning, implementation, and evaluation.
The results of the assessment showed that the patient experienced shortness of breath, pretibial edema, increased blood pressure, and decreased urine output. Laboratory results showed urea 198 mg/dL and creatinine 19.14 mg/dL. The nursing diagnosis established was hypervolemia related to impaired regulatory mechanisms characterized by edema in the lower extremities. Nursing implementation was carried out for 3 days starting from May 10, 2025. Actions included monitoring fluid intake-output, fluid and sodium restriction, semi-Fowler position, family education, and collaboration in administering diuretics. The evaluation results showed improvements, namely decreased shortness of breath, decreased edema, and increased patient awareness in controlling fluids. The nursing care provided has proven effective in overcoming hypervolemia and improving the clinical condition of patients with Chronic Kidney Failure (CKF).

Keywords: Chronic Kidney Failure, Hypervolemia, Nursing Care for Hypervolemia Patients

Item Type:	Thesis (D3)
Uncontrolled Keywords:	Gagal Ginjal Kronis, Hipervolemia, Asuhan Keperawatan pasien hipervolemia Gagal Ginjal Kronis, Hipervolemia, Asuhan Keperawatan pasien hipervolemia Gagal Ginjal Kronis, Hipervolemia, Asuhan Keperawatan pasien hipervolemia
Subjects:	L Education > L Education (General)
Divisions:	Faculty of Health Sciences > Departement of Nursing D3
Depositing User:	fik . userfik
Date Deposited:	06 Nov 2025 02:03
Last Modified:	06 Nov 2025 02:03
URI:	https://eprints.umpo.ac.id/id/eprint/16678

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