nursing care of uremic syndrome
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NURSING CARE OF UREMIC SYNDROME
•Presented by:I Putu Gede Santika Yudha
NegaraI Kadek WardikaJingga Martaria Prima Fajrin
MENUDEFINITIONETIOLOGYCLINICAL MANIFESTATIONMANAGEMENTNURSING DIAGNOSE & INTERVENTION
DEFINITION
• Uremic syndrome is a complex symptoms that related to nitrogen metabolic retention caused by congestive kidney failure (Sylvia A. Price, 1995)
• Uremic syndrome is a condition caused by happen accumulation renal substance of renal function (Hendra T. Laksana, 2000)
ETIOLOGY1. Prerenal (hypopearfision
renal)2. Lutrarenal (actual damaged of
renal tiassue)3. Postrenal (obstruction of urine
flow)
CLINICAL MANIFESTATION
1. Disturbance of regularly and secretion function, abnormally of fluid and electrolyte volume, imbalance of acids and bases, retention of nitrogen metabolic and anemia that cause deficiention of kidney secretion.
2. Abnormally of cardiovaskuler, neuromusculer, and gastrointestinal tract system.
3. Bruised, dry skin, uremic crystal, pale and hyperpigmentation.
MANAGEMENT
• Medical Management1. Give natrium polistrien
sulfonat (kayexalate), oral or by enema irriation
2. Give sorbitol to inductioned effect of diarrhea type
3. Give glucosa or insulin by intravena
4. Give natrium bikarbonat to increase pH plasma
MANAGEMENT
• Nursing Management1. Mesure weight everyday2. Account of fluid balance each 24 hours3. Give nutrition that usually 2gr/days
NURSING DIAGNOSE & INTERVENTION
1. Excess fluid volume related to edemaGoal: depending of hidration adequateIntervention:
a. Asses and record vital signsb. Measure and record intake and output every 8 hoursc. Limited to intake fluidd. Give the oral care every every 2 hourse. Collaboration with others medical team to give
diauretic
NURSING DIAGNOSE & INTERVENTION
2. High risk to decreasing of heart rate ralated to edemaGoal: depending of heart rate normallyIntervention:
a. Monitor blood pressure and heart frequencyb. Auscultation to heart soundc. Limited to input fluidd. Asses the nail colour, mucus, and nail basice. Collaboration with medical team to give natrium
bikarbonat or natrium polisitiren sulfonat (kayexalate)
NURSING DIAGNOSE & INTERVENTION
3. Less of knowledge related to less informationGoal: patient say understand about the diseaseintervention:
a. Asses understanding and previous learningb. Present all material in a manner appropriatec. to knowledge based. Teach about all dignostic and treatment procedurese. It the client will be managed in the communityf. Teach measure to prevent fiither urolithiasis
(Doengoes, 2002)
Nursing Care of Uremic Syndrome 11
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