(ckd part i) asuhan keperawatan chronic kidney disease (ckd) on hd pada klien ny.s di unit...
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7/22/2019 (CKD Part I) Asuhan Keperawatan Chronic Kidney Disease (CKD) on HD pada klien Ny.S di unit hemodialisa golden
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K_YMKD LIUIQK^KSKD
OMQHDGO LGCDIW CG_IK_I (OLC) CIDNKD MIJH_GKBG_K UKCK LBGID Dy. _
CG YDGS MIJHCGKBG_K NHBCID UJG CGW
Cgsusud Ydtul Jijidumg Sunks Urkltgl Lbgdgl Jktk Lubgkm LJA GG
Cgsusudhbim 6
_uog Lurdgkwktg U5>;15;;15>0
Srg Irkwktg Bk`rkdk U5>;15;;15>=
Pgdck Kstrg Uirjktkskrg U5>;15;;15=5
LIJIDSIQGKD LI_IMKSKD QIUYABGL GDCHDI_GK
UHBGSILDGL LI_IMKSKD WHNWKLKQSK
FYQY_KD LIUIQK^KSKD
15;?
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7/22/2019 (CKD Part I) Asuhan Keperawatan Chronic Kidney Disease (CKD) on HD pada klien Ny.S di unit hemodialisa golden
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BIJAKQ UIDNI_KMKD
K_YMKD LIUIQK^KSKD OMQHDGO LGCDIW CG_IK_I (OLC) UKCK Dy. _
CG YDGS MIJHCGKBG_K NHBCID UJG CGW
15;?
Cgkfulkd udtul cgsitufug pkck 6
Mkrg 6
Skdnnkb 6 Cisijair 15;?
Sijpkt 6 Ydgt Mijhcgkbgsk Nhbcid UJG CGW
Uijagjagdn Bkpkdnkd
Ibg Prgstgkwkd, KJL
Uijagjagdn Uidcgcglkd
_unidn, _.Lip, Ds, J._o.
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7/22/2019 (CKD Part I) Asuhan Keperawatan Chronic Kidney Disease (CKD) on HD pada klien Ny.S di unit hemodialisa golden
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AKA G
BKUHQKD UIDCKMYBYKD
OLC (OMQHDGO LGCDIW CG_IK_I)
K. Uidnirtgkd
Nknkb ngdfkb lrhdgl (NNL) agkskdyk klgakt klmgr ckrg limgbkdnkd `udnsg ngdfkb bkdfut
siokrk airtkmkp (Chidnis, ;777< 010)
Nknkb ngdfkb lrhdgs ktku pidyklgt ridkb tkmkp klmgr (I_QC) jirupklkd nkdnnukd `udnsg
ridkb ykdn prhnrisg` ckd grrivirsgabi cgjkdk lijkjpukd tuaum nknkb udtul
jijpirtkmkdlkd jitkahbgsji ckd lisigjakdnkd okgrkd ckd ibiltrhbgt, jidyiakalkd
urijgk (ritidsg urik ckd skjpkm dgtrhnid bkgd ckbkj ckrkm). (Aruddir & _ucckrtm, 155;. Di`rhpktg hastrultg` jgskbdyk skburkd lijgm akngkd ktks 6 lkblubg dihpbksjk, `garhsgs
ditrhpirgthdikb. _kburkd lijgm akngkd akwkm6 mgpirtrhpg prhstkt, strgltur uritrk, kdhjkbg
lhdnidgtkb pkck bimir lkdcudn lijgm ckd uritrk.
=. Aktu skburkd lidogdn ykdn jidyiakalkd mgcrhbgtyksgs
O. Ukth`gsghbhng
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7/22/2019 (CKD Part I) Asuhan Keperawatan Chronic Kidney Disease (CKD) on HD pada klien Ny.S di unit hemodialisa golden
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Ukck wkltu tirfkcg linknkbkd ngdfkb siakngkd di`rhd (tirjksul nbhjirubus ckd tuaubus)
cgcunk utum sickdnlkd ykdn bkgd ruskl (mgphtisk di`rhd utum). Di`rhd-di`rhd ykdn utum
mgpirtrh`g ckd jijprhculsg vhbuji `gbtrksg ykdn jidgdnlkt cgsirtkg rikashrpsg wkbkupud
ckbkj likckkd pidurudkd N@Q ktku ckyk skrgdn. Jithci kckptg` gdg jijudnlgdlkd ngdfkb
udtul air`udnsg skjpkg ckrg di`rhddi`rhd ruskl. Aiakd akmkd ykdn mkrus cgbkrut
jidfkcg biagm aiskr ckrgpkck ykdn agsk cgrikashrpsg airklgakt cgurisgs hsjhtgl cgsirtkg
phbgurg ckd mkus. _ibkdfutdyk lkridk fujbkm di`rhd ykdn ruskl airtkjakm akdykl hbgnurg
tgjaub cgsirtkg ritidsg prhcul sgsk. Sgtgl cgjkdk tgjaubdyk nifkbk-nifkbk pkck pksgid
jidfkcg biagm fibks ckd judoub nifkbk-nifkbk lmks linknkbkd ngdfkb agbk lgrk-lgrk `udnsg
ngdfkb tibkm mgbkdn =5% - 75%. Ukck tgdnlkt gdg `udnsg ridkb ykdn cijglgkd dgbkg lriktgdgd
obikrkdoi turud skjpkg ;9 jb/jidgt ktku biagm ridckm gtu. (Akrakrk O Bhdn, ;770, ?0=)
@udnsg ridkb jidurud, prhcul klmgr jitkahbgsji prhtigd (ykdn dhrjkbdyk cgilslrisglkd
li ckbkj urgd) tirtgjaud ckbkj ckrkm.Sirfkcg urijgk ckd jijpidnkrumg sitgkp sgstij
tuaum. _ijklgd akdykl tgjaudkd prhcul skjpkm jklk nifkbk klkd sijklgd airkt. Akdykl
nifkbk urijgk jijakgl sitibkm cgkbgsgs. (Aruddir & _ucckrtm, 155; 6 ;33=).
C. Lbksg`glksg
Nknkb ngdfkb lrhdgl cgakng ? stkcguj
;. _tkcguj ;
Uidurudkd okckdnkd ngdfkb, pkck stkcguj gdg lkckr lriktgdgd siruj dhrjkb ckd
pidcirgtk ksgjpthjktgl.
1. _tkcguj 1
Gdsu`gsgidsg ngdfkb, cgjkdk biagm ckrg >9 % fkrgdnkd tibkm ruskl, Abhhc Yrik Dgtrhnid(
AYD ) jidgdnlkt, ckd lriktgdgd siruj jidgdnlkt.
?. _tkcguj ?
Nknkb ngdfkb stkcguj klmgr ktku urijgk.
Airglut gdg kckbkm pijakngkd OLC airckskrlkd stkcguj ckrg tgdnlkt pidurudkd B@N 6
;. _tkcguj ;
Libkgdkd ngdfkb ykdn cgtkdckg cidnkd kbaujgdkrgk pirsgstid ckd B@N ykdn jksgm
dhrjkb 4 75 jb/ jidgt/ ;,>? j1
1. _tkcguj 1
Libkgdkd ngdfkb cidnkd kbaujgdkrgk pirsgstid ckd B@N kdtkrk 05-=7 jB/ jidgt/ ;,>? j1
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7/22/2019 (CKD Part I) Asuhan Keperawatan Chronic Kidney Disease (CKD) on HD pada klien Ny.S di unit hemodialisa golden
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?. _tkcguj ?
Libkgdkd ngdfkb cidnkd B@N kdtkrk ?5-97 jB/ jidgt/ ;,>? j1
3. _tkcguj 3
Libkgdkd ngdfkb cidnkd B@N kdtkrk ;9-17 jB/ jidgt/ ;,>? j1
9. _tkcguj 9
Libkgdkd ngdfkb cidnkd B@N 2;9 jB/ jidgt/ ;,>? j1ktku nknkb ngdfkb tirjgdkb.
B@N 6 (;35-ujur) x AA
>1 x lriktgdgd pbksjk (jn/cb) (Uirijpukd 6 cglkbglkd 5,=9)
B@N (Bkfu @gbtrksg Nbhjirubg) ktku N@Q (Nbhjirubkr @gbtrktghd Qkti) kckbkm
fujbkm `gbtrkt nbhjirubg ykdn tiraidtul sitgkp jidgt ckrg siburum di`rhd licuk ngdfkb.
Dhrjkbdyk ;19 jb/jidgt.
I. Jkdg`istksg Lbgdgs
Jkdg`istksg lbgdgl kdtkrk bkgd (Bhdn, ;770 6 ?07)6
;. Nifkbk cgdg
_klgt lipkbk, libibkmkd `gsgl ckd jidtkb, airkt akckd airlurkdn, juckm tirsgdnnudn,
ciprisg
1. Nifkbk ykdn biagm bkdfut
Kdhrilsgk, jukb cgsirtkg judtkm, dk`ks ckdnlkb ktku siskl dk`ks akgl wkltu kck
lingktkd ktku tgckl, ucij ykdn cgsirtkg bilulkd, prurgtgs judnlgd tgckl kck tkpg
judnlgd funk skdnkt pkrkm.
Cirkfkt icijk 6
k. Cirkfkt G 6 Jidilkd sickbkj 1 jj klkd lijakbg cidnkd oipkt
a. Cirkfkt GG 6 jidilkd biagm ckbkj 3 jj ckd klkd lijakbg ckbkj wkltu ;5-;9 citgl
o. Cirkfkt GGG 6 jidilkd biagm ckbkj (0 jj) klkd lijakbg ckbkj wkltu 4 ; jidgt,
tkjpkl aidnlkl
c. Cirkfkt GP 6 jidilkd biagm ckbkj bkng (= jj) klkd lijakbg ckbkj wkltu 1-9
jidgt, tkjpkl skdnkt aidnlkl ykdn dyktk
Jkdg`istksg lbgdgl jidurut _uyhdh (155;) kckbkm siaknkg airglut6
;. Nkdnnukd lkrcghvkslubir
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Mgpirtidsg, dyirg ckck, ckd siskl dk`ks klgakt pirglkrcgtgs, i`usg pirglkrcgkb ckd nknkb
fkdtudn klgakt pidgjaudkd okgrkd, nkdnnukd grkjk fkdtudn ckd icijk.
1. Nkdnnukd Uubjhdir
Dk`ks ckdnlkb, lussjkub, aktul cidnkd sputuj lidtkb ckd rgkl, sukrk lrilibs.
?. Nkdnnukd nkstrhgdtistgdkb
Kdhrilsgk, dkusik, ckd vhjgtus ykdn airmuaudnkd cidnkd jitkahbgsji prhtigd ckbkj
usus, pirckrkmkd pkck skburkd nkstrhgdtistgdkb, ubsirksg ckd pirckrkmkd jubut, dk`ks
aku kjjhdgk.
3. Nkdnnukd juslubhslibitkb
Qisgbis bin sgdcrhj (pinkb pkck lklgdyk simgdnnk sibkbu cgnirklkd), aurdgdn `iit
sydcrhj (rksk lisijutkd ckd tiraklkr, tirutkjk cgtibkpkl lklg), trijhr, jghpktg
(libijkmkd ckd mgpirtrhpg hthththt ilstrijgtks).
9. Nkdnnukd Gdtinujid
Lubgt airwkrdk puokt klgakt kdijgk ckd liludgdn ludgdnkd klgakt pidgjaudkd
urhlrhj, nktkbnktkb klgakt thlsgl, lulu tgpgs ckd rkpum
0. Nkdnnukd idchlrgd
Nkdnnukd jitkahbgl nbulhsk, nkdnnukd jitkahbgl bijkl ckd vgtkjgd C.
>. Nkdnnukd okgrkd ibiltrhbgt ckd lisigjakdnkd kskj ckd aksk
Agkskdyk ritidsg nkrkj ckd kgr titkpg ckpkt funk tirfkcg limgbkdnkd dktrguj ckd
cimgcrksg, ksgchsgs, mgpirlkbijgk, mgphjkndisijgk, mgphlkbsijgk.
=. _gstij mijkthbhng
Ngdfkb jirupklkd sujair pijaidtulkd Irytrhphitgo _tgjubktgdn @kothr (I_@). Kdijgk
ykdn cgsiakalkd lkridk airlurkdndyk prhculsg irgthphitgd, jidyiakalkd rkdnskdnkd
irgtrhphisgs pkck suj suj tubkdn airlurkdn. Mijhbgsgs funk tirfkcg klgakt
airlurkdndyk jksk mgcup irgtrhsgt ckbkj sukskdk urijgk thlsgl. Ckpkt funk tirfkcg
nkdnnukd `udnsg trhjahsgs ckd trhjahsgthpidg.
@. Uijirglskkd Uidudfkdn
;. Yrgdi
k. Phbuji 6 Agkskdyk lurkdn ckrg 355 jb/ 13 fkj (hbgnhurgk) ktku urgd tgckl kck
a. ^krdk 6 _iokrk kadhrjkb urgdi lirum judnlgd cgsiakalkd hbim pus, akltirg,
bijkl, pkrtglib lhbhgc, `hs`kt ktku urkt. _icgjid lhthr, liohlbktkd jidudfullkd
kckdyk ckrkm, mijhnbhagd, jghnbhagd, phrg`grgd.
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7/22/2019 (CKD Part I) Asuhan Keperawatan Chronic Kidney Disease (CKD) on HD pada klien Ny.S di unit hemodialisa golden
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o. Airkt fidgs 6 Lurkdn ckrg ;,5;9 (jiditkp pkck ;,5;5 jidudfullkd lirusklkd
ngdfkb airkt)
c. Hsjhbkbgtks 6 Lurkdn ckrg ?95 jHsj/ln jidudfullkd lirusklkd tuaubkr, ckd
rksgh urgdi/siruj sirgdn ;6;
i. Lbgrids lriktgdgd 6 Judnlgd knkl jidurud
`. Dktrguj 6 Biagm aiskr ckrg 35 jIq/B lkridk ngdfkb tgckl jkjpu jirikashrasg
dktrguj
n. Urhtigd 6 Cirkfkt tgdnng prhtigdurgk (?-3+) siokrk lukt jidudfullkd lirusklkd
nbhjirubus agbk _CJ ckd `rknjid funk kck
1. Ckrkm
k. AYD ktku lriktgdgd 6 Jidgdnlkt, agkskdyk jidgdnlkt ckbkj prhphrsg. Lkckr
lriktgdgd jidgdnlkt ckbkj ;5 jn/cB cgcunk tkmkp klmgr (judnlgd ridckm ykgtu 9)
a. Mgtudn ckrkm bidnlkp 6 Mijkthlrgt jidurud lkridk kckdyk kdijgk. Mijhnbhagd
agkskdyk lurkdn ckrg >-= n/cB
o. _ib ckrkm jirkm 6 ^kltu mgcup jidurud pkck ci`gsgidsg irgtrhphitgd sipirtg pkck
kzhtijgk
c. NCK 6 pM jidudfullkd pidurudkd ksgchsgs jitkahbgl (lurkdn ckrg >,1) tirfkcg
lkridk limgbkdnkd lijkjpukd ngdfkb udtul jidnilslrisg mgcrhnid ckd kjhdgk
ktku mksgb klmgr lktkahbgsji prhtigd. Aglrahdkt jidurud. UOH1 jidurud.
i. Dktrguj siruj 6 Judnlgd ridckm (agbk ngdfkb limkagskd dktrguj ktku dhrjkb
(jidudfullkd stktus cgbusg mgpirdktrijgk)
`. Lkbguj 6 Uidgdnlktkd simuaudnkd cidnkd ritidsg sisukg cdinkd pirpgdckmkd
sibubkr (ksgchsgs) ktku pidnibukrkd fkrgdnkd (mijhbgsgs _CJ). Ukck tkmkp klmgr,
piruakmkd ILN judnlgd tgckl tirfkcg skjpkg lkbguj 0,9 jIq ktku biagm aiskr.
n. Jkndisguj ktku `hs`kt 6 Jidgdnlkt
m. Lkbsguj 6 Jidurud
g. Urhtigd (lmususdyk kbaujgd) 6 Lkckr siruj jidurud ckpkt jidudfullkd
limgbkdnkd prhtigd jibkbug urgd, pirpgdckmkd okgrkd, pidurudkd pijksulkd, ktku
pidurudkd sgdtisgs lkridk lurkdn kskj kjgdh isidsgkb.
?. Hsjhbkbgtks siruj 6 Biagm aiskr ckrg 1=9 jHsj/ln, sirgdn skjk ciddnkd urgd
3. LYA `hth 6 Jidudfullkd ulurkd ngdfkb ktku uritir ktku lkdcudn lijgm ckd kckdyk
hastrulsg (aktu)
9. Ugibhnrkj ritrhnkrc 6 Jidudfullkd kadhrjkbgtks pibvgs ngdfkb ckd uritir
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0. Krtirghnrkj ngdfkb 6 Jidnlkfg sgrlubksg ngdfkb ckd jidngcidtg`glksg ilstrkvkslubir,
jkssk
>. _gsthuritrhnrkj airlijgm 6 Jidudfullkd ulurkd lkdcudn lijgm, ri`buls li ckbkj
uritir, ritidsg
=. Ybtrkshdh ngdfkb 6 Jididtulkd ulurkd ngdfkb ckd kckdyk jkssk, lgstk, hastrulsg pkck
skburkd pirlijgmkd akngkd ktks
7. Aghpsg ngdfkb 6 Judnlgd cgbklulkd siokrk idchslhpgl udtul jididtulkd sib fkrgdnkd
udtul cgkndhsgs mgsthbhngs
;5. Idchslhpg ngdfkb, di`rhslhpg 6 Cgbklulkd udtul jididtulkd pibvgs ngdfkb, libukr aktu,
mijkturgk ckd pidnkdnlktkd tujhr sibiltg`
;;. ILN 6 Judnlgd kadhrjkb jidudfullkd litgcklsigjakdnkd ibiltrhbgt ckd kskj aksk
;1. @hth lklg, tidnlhrkl, lhbujdk spgdkb ckd tkdnkd 6 Ckpkt jidudfullkd cijgdirkbgsksg,
lkbsg`glksg.
(Chidnis, ;777< 01=).
N. Uidktkbklskdkkd Lipirkwktkd
;. Lhdsirvktg`
k. Jidoinkm jijauruldyk `udnsg ngdfkb
;) Mktg-mktg cidnkd pijairgkd hakt ykdn airsg`kt di`rhthlsgl
1) Mgdckrg likckkd ykdn jidyiakalkd cgpbisg vhbuji okgrkd ilstrksibubir ckd
mgphtidsg
?) Mgdckrg nkdnnukd lisigjakdnkd ibiltrhbgt
3) Mgdckrg pijaktkskd litkt lhdsujsg prhtigd miwkdg
9) Mgdckrg prhsis limkjgbkd ckd pijairgkd hakt lhdtrksipsg
0) Mgdckrg gdstrujidtksg ckd sgsthlhpg tkdpk gdcglksg jicgs ykdn lukt
>) Mgdckrg pijirglskkd rkcghbhngs cidnkd lhdtrks ykdn lukt tkdpk gdcglksg
jicgs ykdn lukt
a. Uidcilktkd tirmkckp pidurudkd `udnsg ngdfkb prhnrisg` bkjakt
;) Lidckbglkd mgpirtidsg sgstijgl ckd gdtrknbhjirubkr
1) Lidckbglkd tirkpg G_L
?) Cgit prhtigd ykdn prhphrsghdkb
3) Lidckbglkd mgpir`hs`ktijgk
9) Sirkpg mgpirurilijgk agbk kskj urkt siruj 4;5 jn%
0) Sirkpg mgpir`hs`ktijgk
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7/22/2019 (CKD Part I) Asuhan Keperawatan Chronic Kidney Disease (CKD) on HD pada klien Ny.S di unit hemodialisa golden
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>) Sirkpg likckkd ksgchsgs jitkahbgl
=) Lidckbglkd likckkd mgpirnbglijgk
o. Sirkpg kbbivgktgvi nifkbk kzhtijgk
;) Uijaktkskd lhdsujsg prhtigd miwkdg
1) Sirkpg libumkd nktkb-nktkb
?) Sirkpg libumkd nkstrhgdtistgdkb
3) Sirkpg libumkd diurhjuslubir
9) Sirkpg libumkd tubkdn ckd sidcg
0) Sirkpg kdijgk
>) Sirkpg sitgkp gd`ilsg
1. Cgkbgsgs
k. Uirgthdikb cgkbgsgs
Agkskdyk cgbklulkd pkck lksus lksus ijirnidoy. _ickdnlkd cgkbgsgs ykdn
agsk cgbklulkd cgjkdk skfk ykdn tgckl airsg`kt klut kckbkm OKUC (Ohdtgduis
Kjaubkthrg Uirgthdgkb Cgkbysgs)
a. Mijhcgkbgsgs
Wkgtu cgkbgsgs ykdn cgbklulkd jibkbug tgdcklkd gdvksg` cg vidk ckd krtirg cidnkd
jidnnudklkd jisgd. Ukck kwkbdyk mijhcgbgksgs cgbklulkd jibkbug ckirkm
`ijhrkbgs dkjud udtul jijpirjuckm jklk cgbklulkd
;) KP `gstubk 6 jidnnkaudnlkd vidk ckd krtirg
1) Chuabi bujid 6 bkdnsudn pkck ckirkm fkdtudn (vkslubkrgsksg li fkdtudn)
Gdcglksg cgbklulkdddyk mijhcgkbgsgs siaknkg airglut
;) Uksgid ykdn jijirbulkd mijhcgkbgsgs kckbkm pksgid NNL ckd NNK udtul
sijidtkrk skjpkg `udnsg ngdfkbdyk pubgm.
1) Uksgid-pksgid tirsiaut cgdyktklkd jijirbulkd mijhcgkbgsgs kpkagbk
tirckpkt gdcglksg 6
k) Mgpirlkbijgk
a) Ksgchsgs
o) Linknkbkd tirkpg lhdsirvktg`
c) Lkckr uriuj ktku lriktgdgd tgdnng ckbkj ckrkm
i) Libiagmkd okgrkd
`) Jukb ckd judtkm miakt
_ickdnlkd lhdtrkgdcglksg cgbklulkddyk mijhcgkbgsgs kckbkm
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7/22/2019 (CKD Part I) Asuhan Keperawatan Chronic Kidney Disease (CKD) on HD pada klien Ny.S di unit hemodialisa golden
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;) Nkdnnukd pijailukd ckrkm
1) Kdijgk airkt
?) Srhjahsgs ktku ijahbg pijaubum ckrkm ykdn airkt
Lhjpbglksg ykdn ckpkt tirfkcg ckrg tirkpg mijhcgkbgsgs kckbkm
;) Litgcklsigjakdnkd okgrkd
k) Mgpirvhbijgk
a) Ybtrk`gbtrksg
o) Qkdnlkgkd Ybtrk`gbtrksg (Cgk`gbtrksg)
c) Mgphvhbijgk
i) Mgphtidsg
`) Mgpirtidsg
n) _gdcrhj cgsiqugbgarguj cgkbgsgs
1) Litgcklsigjakdnkd ibiltrhbgt
k) Dktrguj siruj
a) Lkbguj
o) Aglkrahdkt
c) Lkbsguj
i) @hs`hr
`) Jkndisguj
?) Gd`ilsg
3) Uirckrkmkd ckd mipkrgdgsksg
9) Srhuabismhhtgdn
k) Jkskbkm-jkskbkm pirkbktkd
a) Kbgrkd cgkbgskt
o) Lhdsidtrkt cgkbgskt
c) _umu
i) Kbgrkd ckrkm
`) Liahohrkd ckrkm
n) Ijahbg uckrk
0) Klsis li sgrlubksg
k) @gstubk krtirghvidhsk
a) Htht tkdcur
o) Skdcur sgdtitgl
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7/22/2019 (CKD Part I) Asuhan Keperawatan Chronic Kidney Disease (CKD) on HD pada klien Ny.S di unit hemodialisa golden
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c) Lktitir vidk sidtrkb airbujid nkdck
Skdck-tkdck cgkbgsgs kcilukt cgkdtkrkdyk 6
;) Sirokpkg AA lirgdn
1) Uksgid tkjpkl akgl
?) Aiaks sgjthj urijgk
3) Dk`su jklkd akgl
9) Kltg`
0) SC tirlidckbg
>) Ma 4 ;5 nr/cb
o. Hpirksg 6 pidnkjagbkd aktu, trkdspbkdtksg ngdfkb
M. Lhdsip lipirkwktkd
;. Uidnlkfgkd
k. Kltgvgtks/ gstgrkmkt
Nifkbk 6 Libibkmkd ilstrijgtks, libijkmkd, jkbkgsi, nkdnnukd tgcur (gdshjdgk/
nibgskm ktku shjdhbid)
Skdck 6 Libijkmkd htht, limgbkdnkd thdus, pidurudkd ridtkdn nirkl
a. _grlubksg
Nifkbk 6 Qgwkykt mgpirtidsg bkjk, ktku airkt, pkbpgtksg, dyirg ckck (kdngdk)
Skdck 6 Mgpirtidsg, dkcg lukt, icijk fkrgdnkd ujuj ckd pgttgdn pkck lklg,
tibkpkl tkdnkd, cgsrgtjgk fkdtudn. Dkcg bijkm mkbus, mgphtidsg hrthstktgl
jidudfulkd mgphvhbijgk, puokt, lioidcirudnkd pirckrkmkd.
o. Gdtinrgtks inh
Nifkbk 6 @klthr striss, ohdthm `gdkdsgkb, muaudnkd ckd siaknkgdyk, pirkskkd tkl
airckyk, tkl kck mkrkpkd, tkl kck liluktkd.
Skdck 6 Jidhbkl, kdsgitks, tklut, jkrkm, juckm tirkdnskdn, piruakmkd
liprgakcgkd
c. Ibgjgdksg
Nifkbk 6 Uidurudkd `riluidsg urgdi, hbgnurgk, kdurgk, kachjid lijaudn, cgkri,
ktku lhdstgpksg.
Skdck 6 Uiruakmkd wkrdk urgdi, ohdthm ludgdn pilkt, jirkm, ohlibkt, airkwkd,
hbgnurgk, ckpkt jidfkcg kdurgk.
i. Jklkdkd/ okgrkd
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7/22/2019 (CKD Part I) Asuhan Keperawatan Chronic Kidney Disease (CKD) on HD pada klien Ny.S di unit hemodialisa golden
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Nifkbk 6 Uidgdnlktkd airkt akckd oipkt (icijk), pidurudkd airkt akckd
(jkbdutrgsg), kdhrilsgk, dyirg ubu mktg, jukb/ judtkm, rksk jitkbgl tkl sickp cg
jubut (pirdkpkskd kjhdgk), pidnnudkkd cguritgl
Skdck 6 Cgstidsg kachjid/ ksgtis, pijaiskrkd mktg, piruakmkd turnhr lubgt/
libijakakd, icijk (ujuj, tirnkdtudn), ubsirksg nusg, pirckrkmkd nusg/ bgckm,
pidurudkd htht, pidurudkd bijkl sualutkd, pidkjpgbkd tkl airtidknk.
`. Diurhsidshrg
Nifkbk 6 _klgt lipkbk, pidnbgmktkd lkaur, lrkj htht/ lifkdn
Skdck 6 Nkdnnukd stktus jidtkb, ohdthm pidurudkd bkpkdn pirmktgkd,
litgckljkjpukd airlhsidtrksg, limgbkdnkd jijhrg, lkoku, pidurudkd tgdnlkt
liskckrkd, stuphr, lhjk, rkjaut tgpgs, lulu rkpum ckd tgpgs.
n. Dyirg/ lidykjkdkd
Nifkbk 6 Dyirg pkdnnub, sklgt lipkbk, lrkj htht/ dyirg lklg (jijaurul skkt
jkbkj mkrg)
Skdck 6 Uirgbklu airmktg-mktg/ cgstrklsg, nibgskm.
m. Uirdkpkskd
Nifkbk 6 Dkpks pidcil, cgspdik, dhoturdkb pkrhlsgjkb, aktul cidnkd/ tkdpk
sputuj lidtkb ckd akdykl.
Skdck 6 Sklgpdik, cgspdik, pidgdnlktkd `riluidsg/ lickbkjkd (pirdkpkskd
lusjkub), aktul prhcultg` cidnkd sputuj jirkm juckidoir (icijk pkru).
g. Likjkdkd
Nifkbk 6 Lubgt nktkb, kck/ airubkdndyk gd`ilsg
Skdck 6 Ururgtus, cijkj (sipsgs, cimgcrksg), dhrjhtirjgk ckpkt siokrk kltukb
tirfkcg pidgdnlktkd pkck pksgid ykdn jidnkbkjg sumu tuaum biagm ridckm ckrg
dhrjkb.
f. Gdtirklsg shsgkb
Nifkbk 6 Lisubgtkd jididtulkd lhdcgsg, ohdthm tkl jkjpu ailirfk,
jijpirtkmkdlkd `udnsg pirkd agkskdyk ckbkj libukrnk.
l. Uidyubumkd/ pijaibkfkrkd
Nifkbk 6 Qgwkykt CJ libukrnk (risglh tgdnng udtul nknkb ngdfkb), pidyklgt phbglgstgl,
di`rgtgs miricgtir,lkblubus urgdkrgk, jkbgndksg, rgwkykt tirpkfkd hbim thlsgd, ohdthm
hakt, rkoud bgdnludnkd
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7/22/2019 (CKD Part I) Asuhan Keperawatan Chronic Kidney Disease (CKD) on HD pada klien Ny.S di unit hemodialisa golden
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1. Cgkndhsgs Lipirkwktkd
k. Libiagmkd vhbuji okgrkd airmuaudnkd cidnkd pidurudkd mkbukrkd urgd, cgit
airbiagm ckd ritidsg okgrkd sirtk dktrguj.
a. Uiruakmkd dutrgsg6 lurkdn ckrg liautumkd airmuaudnkd cidnkd kdhrilsgk, jukb,
judtkm, pijaktkskd cgit, ckd piruakmkd jijarkdi julhsk jubut.
o. Gdthbirkdsg kltgvgtks airmuaudnkd cidnkd libitgmkd, kdijgk, ritidsg prhcul
skjpkm ckd prhsicur cgkbgsgs.
c. Qisglh gd`ilsg airmuaunkd cidnkd prhsicur gdvksg` airubkdn
i. Nkdnnukd mkrnk cgrg airmuaudnkd cidnkd litirnkdtudnkd, piruakmkd pirkd,
piruakmkd pkck ogtrk cgrg ckd cgs`udnsg silsukb.
`. Lurkdn pidnitkmukd tidtkdn lhdcgsg, ckd prhnrkj pidkdnkdkd
?. Uiridokdkkd
_itibkm jirujuslkd cgkndhsgs lipirkwktkd, cgaukt ridokdk tgdcklkd udtul
jidnurkdng, jidnmgbkdnlkd ckd jidoinkm jkskbkm lbgid.
Gdtirvidsg udtul cgkndhsgs li ; 6
Libiagmkd vhbuji okgrkd airmuaudnkd cidnkd pidurudkd mkbukrkd urgd, cgit airbiagm
ckd ritidsg okgrkd sirtk dktrguj.
Sufukd 6 Jijpirtkmkdlkd airkt tuaum gcikb tkdpk libiagmkd okgrkd
Gdtirvidsg 6
k. Lkfg stktus okgrkd < tgjakdn airkt akckd, lisigjakdnkd jksulkd ckd mkbukrkd,
turnhr lubgt ckd kckdyk icijk, cgstidsg vidk bimir, tilkdkd ckrkm, cidyut ckd
grkjk dkcg.
Qksghdkb 6 Uidnlkfgkd jirupklkd cktk ckskr airlibkdfutkd udtul jijkdtku
piruakmkd ckd jidnivkbuksg gdtirvidsg.
a. Aktksg jksulkd okgrkd
Qksghdkb 6 Uijaktkskd okgrkd klkd jididtulkd airkt tuaum gcikb, mkbukrkd urgd
ckd risphd tirmkckp tirkpg.
o. Gcidtg`glksg sujair phtidsgkb okgrkd < jicglksg ckd okgrkd ykdn cgnudklkd udtul
pidnhaktkd hrkb ckd gdtrkvidk, jklkdkd.
Qksghdkb 6 _ujair libiagmkd okgrkd ykdn tgckl cglitkmug ckpkt cggcidtg`glksg.
c. Fibkslkd pkck pksgid ckd libukrnk rksghdkb pijaktkskd.
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7/22/2019 (CKD Part I) Asuhan Keperawatan Chronic Kidney Disease (CKD) on HD pada klien Ny.S di unit hemodialisa golden
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Qksghdkb 6 Uijkmkjkd jidgdnlktlkd lirfkskjk pksgid ckd libukrnk ckbkj
pijaktkskd okgrkd.
i. Airgtkmu pksgid ckbkj jidnmkckpg litgckldykjkdkd klgakt pijaktkskd okgrkd
Qksghdkb 6 Lidykjkdkd pksgid jidgdnlktlkd lipktumkd tirmkckp pijaktkskd
cgit.
`. Sgdnlktlkd ckd chrhdn hrkb myngidicidnkd sirgdn
Qksghdkb 6 Hrkb myngidijidnurkdng lilirgdnkd jijarkdi julhsk jubut.
Gdtirvidsg udtul cgkndhsgs li 1 6
Uiruakmkd dutrgsg 6 lurkdn ckrg liautumkd airmuaudnkd cidnkd kdhrilsgk, jukb,
judtkm, pijaktkskd cgit, ckd piruakmkd jijarkd julhsk jubut.
Sufukd 6 Jijpirtkmkdlkd jksulkd dutrgsg ykdn kcilukt.
Gdtirvidsg 6
k. Lkfg stktus dutrgsg 6 piruakmkd airkt akckd, dgbkg bkahrkthrguj AYD, lriktgdgd.
Qksghdkb 6 Jidyicgklkd cktk ckskr udtul jijkdtku piruakmkd ckd jidnivkbuksg
gdtirvidsg.
a. Lkfg phbk cgit dutrgsg pksgid < rgwkykt cgit, jklkdkd lisulkkd, mgtudn lkbhrg.
Qksghdkb 6 Uhbk cgit ckmubu ckd silkrkdn ckpkt cgpirtgjakdnlkd ckbkj jidyusud
jidu.
o. Lkfg `klthr ykdn airpirkd ckbkj jiruakm jksulkd dutrgsg 6 kdhrilsgk, jukb ktku
judtkm, cgit ykdn tgckl jidyidkdnlkd akng pksgid, ciprisg, lurkdn jijkmkjg
pijaktkskd cgit, sthjktgtgs.
Qksghdkb 6 Jidyicgklkd gd`hrjksg jidnidkg `klthr bkgd ykdn ckpkt cgruakm ktku
cgmgbkdnlkd udtul jidgdnlktlkd jksulkd hrkb.
c. Jidyicgklkd jklkdkd lisulkkd pksgid ckbkj aktks-aktks cgit.
Qksghdkb 6 Jidchrhdn pidgdnlktkd jksulkd cgit
i. Sgdnlktlkd jksulkd prhtigd ykdn jidnkdcudn dgbkg aghbhngs tgdnng tibur, prhcul
susu, ckngdn.
Qksghdkb 6 Urhtigd bidnlkp cgairglkd udtul jidokpkg lisigjakdnkd dgtrhnid ykdn
cgpirbulkd udtul pirtujaumkd ckd pidyijaumkd.
Gdtirvidsg gdtul cgkndhsgs li ? 6
Gdthbirkdsg kltgvgtks airmuaudnkd cidnkd libitgmkd, kdijgk, ritidsg prhcul skjpkm
ckd prhsicur cgkbgsgs
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7/22/2019 (CKD Part I) Asuhan Keperawatan Chronic Kidney Disease (CKD) on HD pada klien Ny.S di unit hemodialisa golden
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Sufukd 6 Airpkrtgsgpksg ckbkj ckbkj kltgvgtks ykdn ckpkt cgthbirkdsg.
Gdtirvidsg 6
k. Lkfg `klthr ykdn jidgjaublkd libitgmkd < kdijgk,litgcklsigjakdnkd okgrkd ckd
ibiltrhbgt, ritidsg prhcul skjpkm, ciprisg.
Qksghdkb 6 Jidyicgklkd gd`hrjksg tidtkdn gdcglksg tgdnlkt libitgmkd.
a. Sgdnlktlkd lijdcgrgkd ckbkj kltgvgtks pirkwktkd cgrg ykdn ckpkt cgthbirkdsg < akdtu
fglk libitgmkd tirfkcg.
Qksghdkb 6 Jidgdnlktlkd kltgvgtks rgdnkd/ sickdn ckd jijpirakglg mkrnk cgrg.
o. Kdfurlkd kltgvgtks kbtirdktg` skjagb gstgrkmkt.
Qksghdkb 6 Jidchrhdn bktgmkd ckd kltgvgtks ckbkj aktks-aktks ykdn ckpkt
cgthbirkdsg ckd gstgrkmkt ykdn kcilukt.
c. Kdfurlkd udtul gstgrkmkt sitibkm cgkbgsgs
Qksghdkb 6 Gstgrkmkt ykdn kcilukt cgkdfurlkd sitibkm cgkbgsgs, ykdn akng akdykl
pkgsid skdnkt jibibkmlkd.
Gdtirvidsg udtul cgkndhsgs li 3 6
Qisglh gd`ilsg airmuaudnkd cidnkd prhsicur gdvksg`
Sufukd 6 Uksgid tgckl jidnkbkjg gd`ilsg
Gdtirvidsg 6
k. Uirtkmkdlkd krik stirgb sibkjk pidusulkd lktitir
Qksghdkb 6 Jglrhhrnkdgsji ckpkt cgoinkm jksul lickbkj tuaum skkt gdsirsg
lktitir
a. Uirtkmkdlkd tildgl stirgb sibkjk lhdtkl cidnkd klsis vkslubir6 pidusulkd,
pibipkskd lktitir
Qksghdkb 6 Lujkd tgckl jksul lickbkj krik gdsirsg
o. Jhdgthr krik klsis MC tirmkckp lijirkmkd, aidnlkl, dyirg
Qksghdkb 6 Gd`bkjksg/ gd`ilsg cgtkdckg cidnkd lijirkmkd, dyirg, aidnlkl
c. Airg pidfibkskd pkck pksgid pidtgdndyk sktus ngzg
Qksghdkb 6 Ngzg ykdn akgl klkd jidgdnlktlkd ckyk tkmkd tuaum
i. Lhbkahrksg pijairgkd kdtgaghtgl
Qksghdkb 6 Hakt kdtgaghtgl cgnudklkd udtul jijaudum ktkupud jidnmkjakt
pirtujaumkd akltirg pidyiaka gd`ilsg
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7/22/2019 (CKD Part I) Asuhan Keperawatan Chronic Kidney Disease (CKD) on HD pada klien Ny.S di unit hemodialisa golden
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Gdtirvidsg udtul cgkndhsgs li 9 6
Nkdnnukd mkrnk cgrg airmuaudnkd cidnkd litirnkdtudnkd, piruakmkd pirkd,
piruakmkd pkck ogtrk cgrg ckd cgs`udnsg silsukb.
Sufukd 6 Jijpirakglg lhdsip cgrg
Gdtirvidsg 6
k. Lkfg risphd ckd riklsg pksgid ckd libukrnk tirmkckp pidyklgt ckd pidkdnkdkd.
Qksghdkb 6 Jidyicgklkd cktk tidtkdn jkskbkm pkck pksgid ckd libukrnk ckbkj
jidnmkckpg piruakmkd piruakmkd ckbkj mgcup.
a. Lkfg muaudnkd kdtkrk pksgid cidnkd kdnnhtk libukrnk tircilkt.
Qksghdkb 6 Uidnuktkd ckd culudnkd tirmkckp pksgid cggcidtg`glksg
o. Lkfg phbk lhpgdn pksgid ckd kdnnhtk libukrnk
Qksghdkb 6 Uhbk lhpgdn ykdn tibkm i`iltg` cgjksk bkbu judnlgd phtidsgkb cistrultg`
litglk jijkdckdn pijaktkskd ykd cgtitkplkd klgakt pidyklgt ckd pidkdnkdkd.
c. Ogptklkd cgslusg tiraulk tidtkdn piruakmkd ykdn tirfkcg klgakt pidyklgt ckd
pidkdnkdkd, piruakmkd pirkd, piruakmkd nkyk mgcup, piruakmkd ckbkj
pilirfkkd, piruakmkd silsukb, litirnkdtudnkd pkck tgj tidknk lisimktkd.
Qksghdkb 6 Uksgid ckpkt jidngcidtg`glksg jkskbkm ckd bkdnlkm- bkdnlkm ykdn
cgpirbulkd udtul jidnmkckpgdyk.
Gdtirvidsg udtul cgkndhsgs li 0 6
Lurkdn pidnitkmukd tidtkdn lhdcgsg ckd prhnrkj pidkdnkdkd airmudnkd cidnkd
lurkdn gd`hrjksg.
Sufukd 6 Jidgdnlktlkd pidnitkmukd jidnidkg lhdcgsg ckd pidkdnkdkd ykdn
airskdnlutkd.
Gdtirvidsg 6
k. Lkfg pijkmkjkd jidnidkg pidyiaka nknkb ngdfkb, lhdsiluidsgdyk, ckd
pidkdnkdkddyk, pidyiaka nknkb ngdfkb pksgid, pidnirtgkd nknkb ngdfkb,
pijkmkjkd jidnidkg `udnsg ridkb, muaudnkd kdtkrk okgrkd, pijaktkskd cgit
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7/22/2019 (CKD Part I) Asuhan Keperawatan Chronic Kidney Disease (CKD) on HD pada klien Ny.S di unit hemodialisa golden
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cidnkd nknkb ngdfkb, rksghdkb pidkdnkdkd (mijhcgkbgsgs, cgkbgsgs pirgthdikb,
trkdspbkdtksg)
Qksghdkb 6 Jirupklkd gdstrulsg ckskr udtul pidfibkskd ckd pidyubumkd biagm bkdfut.
a. Fibkslkd `udnsg ridkb ckd lhdsiluidsg nknkb ngdfkb sisukg cidnkd tgdnlkt
pijkmkjkd ckd lisgkpkd pksgid udtul aibkfkr
Qksghdkb 6 Uksgid ckpkt aibkfkr tidtkdn nknkb ngdfkb ckd pidkdnkdkd sitibkm
jirilk sgkp udtul jijkmkjg ckd jidirgjk cgkndhsgs ckd lhdsiluidsgdyk.
o. Akdtu pksgid udtul jidngcidtg`glksg okrk-okrk udtul jijkmkjg airaknkg
piruakmkd klgakt pidyklgt ckd pidkdnkdkd ykdn jijpidnkrumg mgcupdyk.
Qksghdkb 6 Uksgid ckpkt jibgmkt akmwk limgcupkddyk tgckl mkrus airuakm klgakt
pidyklgt.
c. _icgklkd gd`hrjksg akgl tirtubgs jkupud siokrk hrkb cidnkd tipkt tidtkdn < `udnsg
ckd linknkbkd ridkb, pijaktkskd okgrkd ckd cgit, jicglksg, jibkphrlkd jkskbkm,
tkdck ckd nifkbk, fkcwkb tgdckl bkdfut, sujair cg lhjudgtks, pgbgmkd tirkpg.
Qksghdkb 6 Uksgid jijgbglg gd`hrjksg ykdn ckpkt cgnudklkd udtul lbkrg`glksg
sibkdfutdyk cg rujkm.
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7/22/2019 (CKD Part I) Asuhan Keperawatan Chronic Kidney Disease (CKD) on HD pada klien Ny.S di unit hemodialisa golden
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AKA GG
K_YMKD LIUIQK^KSKD
K. Cktk pidnlkfgkd
Skdnnkb pidnlkfgkd 6 _ibksk, ;5 Cisijair 15;?
Skdnnkb Jksul MC 6 19 Hlthair 15;?
Qukdn 6 Qukdn Mijhcgkbgsk UJG Nhbcid Whnyklkrtk
Fkj 6 Uulub ;9.55 ^GA
_ujair cktk 6 Uksgid, libukrnk pksgid, oktktkd jicgs ckd lipirkwktkd, tgj
lisimktkd bkgd
Jithci pidnlkfgkd 6 ^kwkdokrk, hasirvksg, pijirglskkd `gsgl ckd stucg chlujid
Hbim 6 _uog Lurdgkwktg
Srg Irkwktg Bk`rkdk
Pgdck Kstrg Uirjktkskrg
;. Gcidtgtks Lbgid
k. Lbgid
Dkjk 6 Dy. _
Sijpkt/ tkdnnkb bkmgr 6 Whnyklkrtk, ; Fubg;70>
Yjur 6 90 tkmud
Fidgs libkjgd 6 Uirijpukd
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7/22/2019 (CKD Part I) Asuhan Keperawatan Chronic Kidney Disease (CKD) on HD pada klien Ny.S di unit hemodialisa golden
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Knkjk 6 Gsbkj
Uidcgcglkd tirklmgr 6 Sgckl silhbkm
Uilirfkkd 6 Gau rujkm tkdnnk
_ulu / akdnsk 6 Fkwk/ Gdchdisgk
Kbkjkt bidnlkp 6 Lbiaid, Ukludoid, Whnyklkrtk
Snb. jksul MC 6 19 Hlthair 15;?
Dhjhr ringstir 6 55.5;.?=
Cgkndhsgs jicgs 6 Omrhdgo Lgcdiy Cgsiksi (OLC) hd MC
a. Uidkdnnudn fkwka lbgid
Dkjk bidnlkp 6 Dy. U
Yjur 6 3= tkmud
Fidgs libkjgd 6 Uirijpukd
Uirlirfkkd 6 ^grkswkstk
_ulu / akdnsk 6 Fkwk/ Gdchdisgk
Muaudnkd cidnkd lbgid 6 Kcgl Lkdcudn
Kbkjkt bidnlkp 6 Lbiaid, Ukludoid, Whnyklkrtk
1. Qgwkykt Lisimktkd
k. Qgwkykt lisimktkd
;) Libumkd Ytkjk
Uksgid jidnibumlkd licuk lklgdyk aidnlkl ckd tirksk lklu. Uksgid jidyktklkdjirksk jukb ckd gdngd judtkm. Uksgid jidyktklkd lubgtdyk tirksk nktkb-nktkb ckd
lirgdn.
1) Kbkskd jksul Q_
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7/22/2019 (CKD Part I) Asuhan Keperawatan Chronic Kidney Disease (CKD) on HD pada klien Ny.S di unit hemodialisa golden
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Libukrnk pksgid jidnktklkd pksgid jidnibumlkd siskl dk`ks ckd licuk lklg
aidnlkl. Uksgid funk jidnktklkd sirgdn jidnlhdsujsg hakt haktkd ykdn cgaibg
cg wkrudn cilkt rujkm tkdpk pirglsk biagm ckmubu tirlkgt cidnkd pidyklgtdyk.
Libukrnk pksgid jidnktklkd siaibujdyk pksgid pirdkm cgrkwkt cg Q_ ULY
Jumkjkcgykm Whnyklkrtk pkck aubkd Fkdukrg 15;?. Uksgid jubkg cgbklulkd MC
pkck tkdnnkb ;5 Hlthair 15;? cg Gdstkbksg Cgkbysgs Q_ ULY Jumkjkcgykm
Whnyklkrtk. Cgpgdckmlkd cg UJG Nhbcid Whnyklkrtk pkck tkdnnkb 19 Hlthair 15;?.
Ydtul MC cgbklulkd rutgd 1 lkbg pirjgdnnu.
?) Lisimktkd silkrkdn
Ukck skkt pidnlkfgkd lhdcgsg lbgid tirbgmkt bijks. Uksgid jksgm ckbkj likckkd aic
rist. SirpkskdnKP Abhhc Bgdipkck MC lktitir. Sirckpkt bulk fkmgtkd pkck tkdnkd
siaibkm lgrg lkridk cgpkskdn KP smudt. Uksgid suckm ouog ckrkm sibkjk ;? lkbg,
sijgdnnu sibkjk 1 lkbg sitgkp mkrg _ibksk sgkdn ckd Fujkt pkng cg UJG Nhbcid
Urhvgdsg CGW.
a. Qgwkykt lisimktkd ckmubu
_iaibujdyk pksgid suckm pirdkm cg cgkndhsk nifkbk strhli rgdnkd, cg Q_ ULY
Jumkjkcgykm Whnyklkrtk pkck ;5 Hlthair 15;?. Libukrnk pksgid jidyktklkd pksgid
jijpudykg rgwkykt pidyklgt mgpirtidsg ckd Cgkaitis Jibgtus (CJ) sifkl 15 tkmud ykdn
bkbu. Ukck tkdnnkb = Dhvijair 15;? pkck skkt ouog ckrkm jidckpkt trkds`usg ckrkm
siakdykl 1 lhb` nhbhdnkd ckrkm H rmisus phsgtg` cidnkd lhjphdid ckrkm UQO.
o. Qgwkykt lisimktkd libukrnk
Libukrnk pksgid kck ykdn jidcirgtk nifkbk strhli ykgtu lklkl pksgid. Libukrnk pksgid
jijpudykg rgwkykt mgpirtidsg. Sgckl kck rgwkykt pidyklgt jidubkr ckrg libukrnk pksgid
sipirtg SAO, MGP/KGC_, nhdhrrmhi, lustk cbb.
?. Uhbk Liagkskkd
k. Kspil @gsgl ckd Usglhbhng
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;) Uhbk Dutrgsg
k) Gdtkli Dutrgsg
(;) _iaibuj sklgt
Uksgid jidnktklkd liagkskkddyk jklkd siaibuj sklgt ykgtu ? x simkrg,
cidnkd jidu dksg, skyur ckd bkul. Libukrnk pksgid jidnktklkd pksgid
cgbkrkdn jklkd jklkdkd ykdn tirbkbu kskj, picks, airskdtkd pilkt,
tirbkbu ksgd, jkdgs, ckd ckngdn jirkm.
(1) _ibkjk sklgt
Libukrnk pksgid jidnktklkd dk`su jklkd pksgid airlurkdn, Uksgid
jidnktklkd jirksk jukb ckd tirlkckdn judtkm. Uksgid jidnlhdsujsg
dksg ckd auaur ?x simkrg cidnkd phrsg sktu idthdn dksg ktku sitidnkm
jkdnlhl auaur. Cidnkd jijaktksg ksupkd nkrkj ckd jklkdkd jgdujkd
jkdgs.
a) Gdtkli okgrkd
(;) _iaibuj sklgt
Uksgid jidnktklkd jgduj 9 ;5 nibks ( 1955 oo) pir mkrg. Uksgid
mkdyk sulk jgduj kgr putgm ckd tim jkdgs.
(1) _ibkjk sklgt
_kkt sklgt chltir jidnkdfurlkd jidnurkdng jgduj jidfkcg ; nibks pir
mkrg, dkjud pksgid jgduj 3 nibks ( ;.555 oo) kgr putgm sitgkp mkrgdyk.
1) Uhbk Ibgjgdksg
k) AKL
(;) _iaibuj sklgt
Uksgid jidyktklkd AKL, wkrdk ludgdn firdgm, 3 - 0x ckbkj simkrg ckd
sulk jidkmkd jglsg. _kkt jkbkj sirgdn tirakdnud lkridk tirksk gdngd
AKL.
(1) _ibkjk sklgt
Uksgid jidyktklkd AKL ykdn sijubk (siaibuj sklgt) akdykl silkrkdn
jidfkcg sicglgt ckd fkrkdn. Libukrnk pksgid jidyktklkd pksgid
jidnnudklkd pijpirs, tgckl tirbgmkt ckrkm ckbkj urgdi. Uksgid
jidyktklkd suckm jidhpkusi sifkl usgk 95 tkmud.
a) AKA
(;) _iaibuj sklgt
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Uksgid jidnktklkd AKA bkdokr ykgtu ; x/mkrg sitgkp pkng, wkrdk ludgdn,
lhdsgstidsg `isis budkl, `isis airaku lmks ckd tgckl kck bidcgr.
(1) _ibkjk sklgt
Uksgid jidnktklkd AKA tirlkckdn ? lkbg simkrg cidnkd lhdsgstidsg idoir,
airwkrdk ludgdn, `isis airaku lmks ckd airbidcgr.
?) Uhbk Gstgrkmkt
k) Fujbkm6 Uksgid jidnktklkd siaibuj sklgt tgcur = fkj ckbkj sktu mkrg, sibkjk
sklgt ;; fkj ckbkj sktu mkrg
a) ^kltu 6 _iaibuj sklgt pksgid jidnktklkd tgcur cgjkbkj mkrg jubkg pulub
1;.55 ^GA 59.55 ^GA. _gkdn tgckl pirdkm tgcur. _ibkjk sklgt pksgid
jidnktklkd tgcur cgjkbkj mkrg ckrg pulub ;7.55 ^GA 59.55 ^GA ckd pkck
sgkdn mkrg pulub ;?.55 ^GA;3.55 ^GA. _kkt cgbklulkd pidnlkfgkd pksgid tgcur
cidnkd pubks.
3) Uirshdkb myngidi
@riluidsg jkdcg 6 Libukrnk pksgid jidnktklkd siaibuj sklgt pksgid jkdcg 1x
simkrg, sibkjk sklgt 1x simkrg sitgkp pkng ckd shri mkdyk cgbkp.
Liairsgmkd 6 Qkjaut tirbgmkt bipil airjgdykl, lulu tirbgmkt sicglgt lhthr, jubut
tirbgmkt airsgm ckd pklkgkd cgnkdtg sitgkp mkrg.
9) Kltgvgtks.
k) _iaibuj sklgt
Lijkjpukd
pirkwktkd
cgrg
5 ; 1 ? 3
Jklkd ckd
jgduj
Jkdcg
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Shgbittgdn
Airpklkgkd
Jhagbgtks cg
tijpkt tgcur
Airpgdckm
QHJ
Litirkdnkd 6
5 6Sirnkdtudn thtkb
; 6Cgakdtu hrkdn bkgd ckd kbkt
1 6Cgakdtu hrkdn bkgd
? 6Kbkt akdtu
3 6Jkdcgrg
Lisgjpubkd 6 _iaibuj cgrkwkt cg Q_ pksgid ckpkt jibklulkd lingktkd simkrg
mkrg tkdpk akdtukd hrkdn bkgd jkupud kbkt akdtu.
a) _ibkjk sklgt
Lijkjpukd
pirkwktkd
cgrg
5 ; 1 ? 3
Jklkd ckd
jgduj
Jkdcg
Shgbittgdn
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Airpklkgkd
Jhagbgtks cg
tijpkt tgcur
Airpgdckm
QHJ
Litirkdnkd 6
5 6Sirnkdtudn thtkb
; 6Cgakdtu hrkdn bkgd ckd kbkt
1 6Cgakdtu hrkdn bkgd
? 6Kbkt akdtu
3 6Jkdcgrg
Lisgjpubkd 6 Lbgid cgakdtu hrkdn bkgd ckbkj jibklskdklkd kltgvgtksdyk jkdcg ckd
airpklkgkd. _ickdnlkd udtul thgbitgdn lbgid cgakdtu kbkt ykgtu
pijpirs. Ydtul jklkd ckd jgduj, jhagbgtks cg tijpkt tgcur,
airpgdckm ckd QHJ pksgid ckpkt jibklulkddyk sidcgrg
a. Kspil JidtkbGdtibiltukb_hsgkb_pgrgtukb
;) Lhdsip cgrg
Uirkd siaknkg Gau/Gstrg ckbkj libukrnk kltgvgtksdyk tirnkdnnu klgakt pidyklgt ykdn
cgcirgtk.
1) Gdtibiltukb
Lbgid lurkdn pkmkj tidtkdn okrk pirkwktkd bulk MC lktitir ckd KP smudt aisirtk
pidyklgtdyk. Uksgid ckd libukrnk pksgid tirbgmkt nibgskm ckd agdnudn.
?) Muaudnkd gdtirpirshdkb
Muaudnkd cidnkd kdnnhtk libukrnk skdnkt mkrjhdgs. Muaudnkd cidnkd titkdnnk
ckd lirkakt tirfkbgd sgbkturkmjg cidnkd skdnkt akgl.
3) Jilkdgsji lhpgdn
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Uksgid jidnkdnnkp pidyklgt gdg siaknkg ohakkd ckrg Kbbkm _^S. Ckd pksgid
jidnkdnnkp ohakkd gdg pkstg kck mgljkmdyk.
9) _upphrt systij
Kcgl pksgid sibkbu jidnkdtkr ckd jidijkdg pksgid skkt mijhcgkbgsk. Kdkl pksgid
funk sirgdn jidfijput pksgid sitibkm sibiskg cgbklulkd mijhcgkbgsk. Libukrnk
pksgid sidkdtgksk jijairg culudnkd ckd chk udtul lisijaumkd pksgid.
0) Kspil jidtkb ijhsghdkb
Uksgid skakr jidnmkckpg pidyklgt gdg. Uksgid tgckl pirdkm jidnibum ktkupud jkrkm
tirmkckp pidyklgt ykdn cgcirgtkdyk.
>) Kspil gdtibinidsg
Litglk cgbklulkd pidnlkfgkd pksgid jkjpu jidfkwka pirtkdykkd ykdn cgairglkd
cidnkd akgl ckd bkdokr. Lbgid jksgm jidngdnkt lifkcgkd siaibuj sklgt.
=) Muaudnkd shsgkb
Lbgid jidnnudklkd akmksk Fkwk ckbkj limgcupkd simkrg mkrg. Lbgid tgdnnkb cg
rujkmdyk sidcgrg. Bgdnludnkd pksgid airkck cg wgbkykm lhtk. Kgr ykdn cgnudklkd ckd
cglhdsujsg simkrgmkrg jidnnudklkd kgr sujur. AKA, AKL ckd ckd lingktkd JOL
cgbklulkd cg rujkm. Muaudnkd pksgid ckd libukrnk cidnkd pkrk pirkwkt ckd pksgid
bkgd ykdn sktu rukdnkd cidnkd pksgid tirfkbgd cidnkd akgl. Uksgid tirbgmkt kpktgs.
0) Uhbk silsukbgtks ckd riprhculsg
_ibkjk sklgt phbk silsukbgtks pksgid tirnkdnnu lkridk litiraktkskd nirkl ckd
tirpkskdn MC lktitir ckd pksgid tkjpkl bijkm simgdnnk tgckl jijudnlgdlkd udtul
jibklulkd muaudnkd silsukbgtks.
>) _gstij dgbkg ckd liyklgdkd
Uksgid rutgd jibklskdklkd smhbkt bgjk wkltu wkbkupud cidnkd litiraktkskd nirkl,
sukjg ckd kdkl pksgid pksgid sibkbu jijakdtu lbgid udtul jibklskdklkd smhbkt.
A. Uijirglskkd @gsgl
;. Likckkd ujuj
Liskckrkd 6 Lhjphs jidtgs.
_tktus Ngzg 6
AA 6
k. Sirklmgr 6 99 ln
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a. _iaibuj MC 6 9>,> ln
o. _itibkm MC 6 99,1 ln
SA 6 ;95 oj
Skdck- tkdck vgtkb 6
Dkcg 6 ;55 x/jidgt
QQ 6 19 x/jidgt
SC 6 ;1=/>; jjMn
_umu 6 ?0, 9O
1. Liairsgmkd lbgid
k. Qkjaut
Libukrnk pksgid jidyktklkd pksgid tgckl pirdkm jidouog rkjaut sibkjk tirpkskdn
MC lktitir. Uksgid jidnklu tklut bulk fkmgtkddyk tirlidk kgr.
a. Lipkbk
Aidtul sgjitrgs, tgckl tirbgmkt lhthrkd ykdn jidijpib, tgckl kck pijaiskrkd libidfkr
tgrhgc ckd libidfkr bgj`i.
o. Jktk
Aidtul jktk sgjitrgs, lhdfudntgvk kdijgs, slbirk airwkrdk lijirkmkd, likckkd
jktk oulup airsgm, ckd skyu.
c. Mgcudn
Aidtul ckd phsgsg sgjitrgs, ckbkj mgcudn tgckl tirckpkt lhthrkd tgckl tirckpkt
pirkckdnkd, aidfhbkd ckd libkgdkd.
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i. Jubut
Sgckl tirckpkt pirckrkmkd ckd pirkckdnkd jubut, ngng airsgm. @udnsg pidniokpkd
akgl, tgckl tirckpkt pijaiskrkd thdsgb.
`. Sibgdnk
Aidtul sgjitrgs, tibgdnk tkjpkl airsgm tgckl tirckpkt sirujid ykdn libukr, tgckl kck
tkdck pirkckdnkd ckd pidckrkmkd, tgckl jidnnudklkd kbkt akdtu pidcidnkrkd.
?. Uijirglskkd sgstijgl
k. Bimir
Sgckl kck pijaiskrkd libidfkr tmyrhgc, aidtul bimir sgjitrgs, tgckl kck libumkd
nirkl bimir.
a. Smhrkx
@riluidsg dkpks 19 x/jidgt, siskl dk`ks. Aidtul sgjitrgs, tgckl jidnnudklkd htht
akdtu pirdkpkskd tkjakmkd, tgckl jidnnudklkd kbkt akdtu pirdk`kskd.
Uidnijakdnkd pkru skkt gdspgrksg ckd ilspgrksg kdtkrk lkdkd ckd lgrg skjk. Cg
siaibkm lkdkd ktks ckck tirpkskdn MC lktitir sifkl 1= Dhvijair 15;? tgckl tirbgmkt
lijirkmkd, rijaiskd, pus, ckrkm, ckd tgckl tirbgmkt tkdck-tkdck gd`ilsg.
o. Lubgt
Liairsgmkd lubgt oulup airsgm. lubgt pksgid sirgdn nktkb-nktkb ckd tirksk pkdks skkt
cgbklulkd ouog ckrkm.
c. Kachjid
Aidtul sgjitrgs cidnkd likckkd tgckl tirckpkt aidfhbkd, tgckl kck mgpirpgnjidtksg,
sukrk pirlusg tgjpkdg.
i. Ilstrgjgtks
Aidtul ilstrgjgtks ktks sgjitrgs kdtkrk siaibkm lkdkd ckd lgrg. Ilstrgjgtks ktks ckd
akwkm ckpkt cgnirkllkd. Sirckpkt bulk fkmgtkd KP _mudt cg tkdnkd lgrg sipkdfkdn 9
oj sifkl 1; Dhvijair 15;? cidnkd likckkd bulk lirgdn, tgckl tirbgmkt lijirkmkd,
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rijaiskd, pus, ckrkm, ckd tkdck-tkdck gd`ilsg. Sirckpkt aidnlkl cg licuk lklg
cidnkd cirkfkt G.
`. Qiprhculsg
Lbgid airfidgs libkjgd pirijpukd, lbgid suckm jidhpkusi. _uckm jijpudykg kdkl
sktu airfidgs libkjgd bklg-bklg.
O. Sirkpg ykdn cgckpkt skkt gdg
;. Sirkpg mijhcgkbgsk sitgkp _ibksk sgkdn ckd Fujkt pkng cidnkd klsis MC lktitir
sifkl 1 Cisijair 15;?.
1. Mipkrgd =?? udgt/fkj skkt cgbklulkd mijhcgkbgsk.
?. Okpthprgb ;x19 jn
3. Kskj `hbkt 1x;
9. OkOH? ?x;
0. @urhsijgc ;x35 jn
>. Cgit QNOU
C. Uijirglskkd ykdn pirdkm cgbklulkd ckd mksgbdyk
;. Bkahrkthrguj
k. Ckrkm
Skdnnkb pijirglskkd 1? Hlthair 15;?
Lhjphdid Mksgb Dgbkg dhrjkb _ktukd
MA 7,; ;1-;0 nr/cb
Yriuj ckrkm ;55 ;>-3? jn/cb
Lriktgdgd ;1,= 5,7-;,? jn/cb
MAsKn dinktg` dinktg`
a. Ckrkm
Skdnnkb pijirglskkd 50 Dhvijair 15;?
Lhjphdid Mksgb Dgbkg dhrjkb _ktukd
MA >,= ;1-;0 nr/cb
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AKA GGG
LI_GJUYBKD
_itibkm cgbklulkd ksumkd lipirkwktkd pkck lbgid Dy. _ kck aiairkpk jkskbkm
ykdn suckm tirktksg, kck pubk ykdn aibuj tirktksg.
Cgkndhsk pirtkjk ykgtu libiagmkd vhbuji okgrkd aibuj tirktksg cglkridklkd kck
aiairkpk lrgtirgk mksgb ykdn aibuj tirokpkg cgkdtkrkdyk jksgm tirbgmkt icijk pkck lklg.
Cgkndhsk licuk ykgtu risglh gd`ilsg suckm tirktksg cidnkd lrgtirgk mksgb aiaks
ckrg tkdck-tkdck gd`ilsg sipirtg tgckl tirbgmkt lijirkmkd, rjaiskd, pus, ckrkm, aidnlkl,
dyirg, ckd tkdck-tkdck gd`ilsg bkgddyk. @klthr pidculudn litirokpkgkddyk kdtkrk bkgd
rutgd cgbklulkd pirkwktkd bulk simgdnnk tgckl kckdyk tkdck-tkdck gd`ilsg.
Cgkndhsk litgnk ykgtu ci`gsgidsg pidnitkmukd tidtkdn pidyklgtdyk suckm
tirktksg. Uksgid suckm jidnirtg tidtkdn kbkskd pijaktkskd okgrkd ckd okrk pirkwktkd
bulk fkmgtkd siokrk jkdcgrg. _kkt cgivkbuksg pksgid ckd libukrnk funk ckpkt jidfkwka
pirtkdykkd cidnkd aidkr.
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CK@SKQ UY_SKLK
Chidnis I, J, cll. ;777. Qidokdk Ksumkd Lipirkwktkd 6 Uichjkd Ydtul Uiridokdkkd ckdUidchlujidtksgkd Uirkwktkd Uksgid Icgsg ?. Fklkrtk 6 INO
Bhdn, A, O. ;770. Uirkwktkd Jicglkb Aickm (_uktu Uidcilktkd Urhsis Lipirkwktkd) Fgbgc ?.Akdcudn 6 Wkykskd Glktkd Kbujdg Uidcgcglkd Lipirkwktkd
Urgoi, _, K ckd Bhrrkgdi J, ^. ;779. Ukth`gsghbhng Lhdsip Lbbgdgs Urhsis-Urhsis Uidyklgt. Icgsg3.Fklkrtk 6 INO
_jibtzir, _, O ckd Aridck N, A. 155;. Aulu Kfkr Lipirkwktkd Jicglkb Aickm Aruddir &_ucckrtm. Icgsg =. Fklkrtk 6 INO
_uyhdh, _. 155;.Aulu Kfkr Gbju Uidyklgt Ckbkj.Icgsg ?. Fgbgc GGG. Fklkrtk.6 Akbkg Uidiragt @LYG
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