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