Hasil Pencarian  ::  Simpan CSV :: Kembali

"The aim of this study was to investigate the effect of ant (hypertensive agents with different degrees of renal excretion lisinopril (L) eliminated in the kidney and fosinopril (F), only 50% of which is eliminated through the kidney on renal function in hypertension patients with mild to moderate renal failure.Materials and methods: Patients were divided into two groups. The first group was given F 10 mg/day and the second group was given L 10 mg/day. Groups were divided randomly, and drugs were given for 6 weeks each night at 8.00p.m. The hypertension status of each subject was determined from systolic blood pressureJ140 mmHg or diastolic blood pressure -f 90 mg/dl. Subjects were both male and female, with an age range of 18- 65 years old.Results: The results from the creatinine examination of the 10 mgF group was (3.06 ±0.97) mg/dl after drug use, which showed no decrease in renal function. The difference was insignificant (p=0.17). The 10 mgL group the creatinine level was (3.22 ±0.17), where as in the 10 mg L group the creatinine level was (3.22 ± 0.75) mg/dl before the use of the drug and (4.11 ± 2.14) mg/dl after the use of the drug respectively. There was no worsening of the renal function, which did not differ significantly (p=0.11). There was a significant difference (p < 0.05) in the creatinine level of the 10 mg F and 10 mg L groups. The serum creatinine level before and after treatment did show any significant changes at. 6 week. However, the serum creatinine profile over 6 week was more significant in the F group than in the L groups."

"Pendahuluan: Penyakit ginjal kronik (PGK) adalah kondisi hilangnya fungsi ginjal progresif dan ireversibel yang sangat mungkin mengancam jiwa pasien. Penyebab terbanyak PGK adalah diabetes mellitus (DM) dan hipertensi (HT) yang juga memiliki efek terhadap organ lain terutama jantung. Hal ini mengakibatkan disfungsi ginjal berat pada pasien seringkali ditemukan bersama dengan disfungsi jantung. Tata laksana nutrisi optimal diperlukan untuk mendapatkan hasil klinis yang baik. Presentasi kasus: Empat pasien perempuan, usia 49-67 tahun dengan riwayat DM dan HT, datang ke RS dengan keluhan sesak nafas, penurunan kesadaran, dan edema. Pasien didiagnosis dengan congestif heart failure (CHF), PGK (G5, G4, G4, dan G3), HT, DM tipe 2. Berdasarkan anamnesis, pemeriksaan fisik, dan pemeriksaan penunjang didapatkan bahwa pasien berisiko malnutrisi, anemia, hiperuricemia, dan dislipidemia. Selama perawatan, pasien mendapatkan nutrisi secara bertahap sampai mencapai kebutuhan energi total, protein 0,8 g/kg BB, minyak ikan 2 g/hari, multivitamin, dan kalsium, disertai pembatasan asupan garam. Hasil pemantauan menunjukkan bahwa keempat pasien mengalami perbaikan klinis, namun tetap mengalami peningkatan kreatinin. Kesimpulan: Tata laksana nutrisi pasien PGK membutuhkan strategi pemberian nutrisi yang lebih komprehensif, tidak hanya dengan melakukan pembatasan asupan protein.

---

Introduction: Chronic kidney disease (CKD) is life threathening condition caused by lost of kidney function progressively and irreversibly. Diabetes Mellitus (DM) and hypertension (HT) are the most common etiology of CKD, which also have impact to other organs such as heart. It make clinical manifestation in CKD patients often found with heart dysfunction, named as cardiorenal syndrome. Optimal nutrition therapy is needed to achieve good clinical outcomes.

Case presentation: Four female patients, ages 49-67 years old with history of DM and HT, came to hospital with chief complain dyspneu, decreased conciousness, and oedema anasarca. Patients had diagnose with CHF, PGK, anemia, DM, and HT. Data from anamnesis, physical, and laboratorium examination showed that all pasien have malnutrition risk, anemia, dyslipidemia, and hiperuricemia. During hospitalization, nutrition had given gradually to reach total energy needs, protein 0,8 g/kg BW, fish oil 2 g/day, multivitamin, calcium and salt restriction to recommended daily intake value. Monitoring result show that all patients have clinically improvement, but not creatinin level which act as marker of kidney damage.

Conclusion: Nutrition management in CKD patients need comprehensif strategy, not only with restriction protein intake."

"Leptospirosis is a zoonotic disease cause by a microorganism? leptospira, with animals especially rats acting as the reservoir host. Humans are infected by direct contact with urine or tissues of the infected animals and indirectly by contaminated water, soil, and vegetation leptospira. Infection can result in acute renal failure, or liver damage and pancreas.In this case patient with the problem is leptospirosis, acute pancreatitis and acute renal failure. Serologic test resulted in positive leptospira with titer 400 for serovar Hardjo and titer 100 for serovar Bataviae."

"Administration of a renal dose of dopamine in acute renal failure still attracts a lot of controversy, store there has not been a study that found a significant protective effect on the kidneys.Nevertheless, according to its ability to increase renal blood flow in laboratory animals and normal subjects, several parties still maintain its use, even though the required dose is very much individualized.The side effect of dopamine, such as tachycardia, arrhythmia, miocardiac ischemia, and intestinal ischemia due to precapilary vasoconstriction causing bacterial translo-caiionfrom the intestinal lumen to the systemic bloodstream, even though relatively rare, should receive adequate attention."

"Masalah fisik sering sekali disertai dengan masalah psikososial dan tidak jarang menjadi penyebab ketidakefektifan terapi medis terhadap masalah fisik. Hal ini menunjukkan bahwa kesehatan psikososial sangat penting terhadap kesehatan klien dan jika diabaikan akan menimbulkan keterlambatan penyembuhan dan peningkatan risiko komplikasi. Salah satu masalah psikososial yang sering muncul adalah ansietas yaitu perasaan tidak nyaman dan kekhawatiran, sering sekali penyebabnya tidak diketahui. Karya ilmiah ini bertujuan mendeskripsikan asuhan keperawatan ansietas pada bapak P yang mengalami diabetes mellitus tipe dua dengan komplikasi gagal ginjal kronik. Asuhan keperawatan diberikan selama enam hari perawatan berupa hipnotis lima jari dan distraksi mendengarkan musik. Hasil intervensi menunjukkan masalah ansietas teratasi ditandai penurunan tanda dan gejala ansietas yang dimiliki bapak P. Disimpulkan bahwa hipnotis lima jari dan mendengarkan musik dapat menurunkan cemas pada pasien diabetes mellitus tipe dua dengan komplikasi gagal ginjal kronik.

---

Physical problems often accompanied by psychosocial problems and causing ineffectiveness of medical therapy to physical problem. It suggests that psychosocial health is very important to the health of client. If it is ignored, it will cause delay healing and increase the risk of complication. One of the psychosocial problems is anxiety often showed by discomfort and worried feeling. The caused of them often unknown. This scientific paper aims to describe anxiety nursing care to patient with diabetes mellitus type two and chronic renal failure complication. Intervention was given during six days. The interventions were five fingers hypnotic and music therapy. The results showed that problem could be solved by five fingers hypnotic and music therapy marked by decrease of signs and symptoms of anxiety on patient. It was concluded that five fingers hypnotic and music therapy could reduce anxiety to patient with diabetes mellitus type two and chronic renal failure complication"

"ABSTRAKPenyakit gagal ginjal kronik atau End Stage Renal Disease ESRD adalah kerusakan nefron irreversible progresive dan penurunan glomerular filtration rate GFR di mana kemampuan tubuh gagal untuk mempertahankan keseimbangan cairan dan elektrolit dimana pada akhirnya dapat meningkatkan uremia dan kreatinin. Praktik profesi dilakukan di ruang penyakit dalam Melati Atas RSUP Persahabatan yang difokuskan merawat pasien gagal ginjal kronik. Masalah keperawatan utama pada pasien adalah ketidakseimbangan elektrolit. Intervensi yang telah dilakukan adalah manajemen hiperkalemia dan manajemen cairan Intervensi ini efektif dilakukan pada pasien gagal ginjal kronik dengan hiperkalemia ditandai dengan peningkatan kalium ureum dan kreatinin. Direkomendasikan bagi perawat memberikan penanganan hiperkalemia dan cairan pada pasien gagal ginjal kronik secara bersamaan.

---

ABSTRACT

Chronic renal failure or End Stage Renal Disease ESRD is an irreversible progressive nephron damage and decreased glomerular filtration rate GFR in the where the body fails to maintain fluid balance and electrolytes which can ultimately increase uremia and creatinine. This professional practice held in internal medicine department of RSUP Persahabatan hospital. The focus patients with chronic renal failure The main nursing problems in patients is electrolyte imbalance. Interventions that had been carried out is the management of hyperkalemia and fluid management. This intervention was effective in patients with chronic renal failure hyperkalemia with characterized by an increase in potassium urea and creatinine. The recommendation for nurses is to provide treatment of hyperkalemia and fluid in patients with chronic renal failure simultaneously."

"ABSTRAKKeluarga yang merawat pasien gagal ginjal kronik dengan hemodialisa mengalami perubahan dalam hidupnya. Penelitian ini bertujuan mendapatkan pemahaman yang mendalam tentang pengalaman anggota keluarga dalam proses adaptasi merawat pasien gagal ginjal kronik dengan hemodialisa. Penelitian ini menggunakan desain kualitatif fenomenologi deskriptif melalui wawancara mendalam dengan melibatkan 10 partisipan. Analisis data dengan teknik Collaizzi dan mengidentifikasi empat tema yaitu: sedih, kaget, dan takut keluarga mendengar vonis gagal ginjal dan hemodialisa; adanya dukungan material dan non material dari keluarga dan kerabat kepada keluarga yang merawat; ibadah dan kewajiban anggota keluarga terdekat sebagai motivasi utama dalam merawat anggota keluarga yang sakit; konflik intrapersonal: finansial, fisik, dan sosial sebagai masalah keluarga dalam merawat. Keluarga mempunyai pengalaman yang unik dan berbeda-beda dalam merawat anggota keluarga yang menderita gagal ginjal kronik dengan hemodialisis yang meliputi aspek emosional, ekonomi, sosial, spiritual, dan intrapersonal. Rekomendasi penelitian ini adalah untuk mengetahui pengalaman keluarga dalam merawat anggota keluarganya yang menderita gagal ginjal kronik dengan partisipan yang heterogen dari segi demografi.

---

ABSTRACTAbstract Families who treat chronic renal failure patients with hemodialysis had experienced a change in their lives. This study aimed to gain a deep understanding of family members live experiences an adaptation process of treating patients with chronic renal failure with hemodialysis. This study applied a descriptive qualitative phenomenology through an in depth interview involving 10 participants. Collaizzi appraisal used to analysis data four themes emerged are sad, shock, and fear of the family hearing for verdict of chronic renal failure and hemodialysis materials and immaterials support from family and relation for family worship and duty of family member as motivation in caring for patients intrapersonal conflict financial, physical, and social as a family problems in caring. Families have unique and different experiences in caring for family members who suffering chronic renal failure with hemodialysis that includes emotional, economic, social, spiritual, and intrapersonal aspects. The Further research is necessary to know the family experience in caring for family members who are from suffering chronic renal failure with heterogenous participants of demography term. "

"Penurunan laju filtrasi glomerulus merupakan satu kondisi dimana fungsi ginjal mengalami penurunan dan membutuhkan terapi hemodialisa sebagai pengganti fungsi ginjal. Pembatasan cairan perlu dilakukan pada pasien gagal ginjal kronik dengan hemodialisa. Pembatasan cairan ini menyebabkan rasa haus yang tidak terkontrol sehingga pasien sulit untuk mengontrol pemasukan cairan. Rasa haus menyebabkan pasien sulit dalam membatasi cairan serta dapat meningkatkan kelebihan volume cairan diantara sesi hemodialisa salah satu intervensi untuk mengtasi rasa haus pada pasien GGK adalah dengan berkumur penyegar mulut rasa mint. Oleh karena itu tujuan dari studi kasus ini adalah untuk melihat kefektifan Intervensi berkumur dengan penyegar mulut rasa mint adalah untuk mengatasi rasa haus dalam rangka menjga keseimbangan cairan tubuh pada pasien gagal ginjal kronik. Metodologi studi kasus yang dilakukan selama 7 hari perawatan 2-7 kali sehari hasil intervensi tersebut didapatkan bahwa intervensi ini terbukti mampu mengurangi rasa haus yang dialami pasien yang di tunjukkan dengan kepatuhan dalam rstriksi cairan dan balance cairan yang selalu minus pada evaluasi selama intervensi. Pasien merasa terbantu dalam mengatasi rasa haus dalam manajemen pembatasi cairan sehingga tidak terjadi komplikasi dan peningkatan volume cairan diantara sesi hemodialisa sehingga intervensi ini dapat menjadi salah satu rekomendasi bagi perawat untuk melakukan intervensi mandiri dalam mengatasi kelebihan volume cairan pada pasien gagal ginjal kronik.

---

The decrease of glomerular filtration rate is a condition where kidney function has decreased in chronic renal failure patient requires hemodialysis therapy to replace renal function. Fluid restriction which implemented in chronic renal failure patients with hemodialysis could lead to uncontrolled feeling of thirst. During hemodialysis session, the thirst in patient could enhance excess fluid volume because difficult to manage the water intake. One of the interventions to treat thirst in patients with chronic renal failure is by gargling with mint freshen. The purpose of this case study is to look at the effectiveness of the gargling intervention with mint flavored freshener to overcome thirst in order to maintain body fluid balance in patient with chronic renal failure. The methodology of the case study performed in 2-7 times a day as a result of the intervention found that this intervention proved to be able to reduce the thirst with shown the thirst has decreased among hemodialysis session. The evaluation result in adherence of controlling and balancing fluid after the intervention always showed minus score. The result of this case study is expected to be useful for the development of nursing science in the future about managing the thirst to prevent the complication of increasing fluid volume through gargling with mint freshener especially in patient with chronic renal failure among hemodialysis session. This intervention is expected to be one of recommendations for independent nursing intervention to overcome excess fluid volume in patients with chronic renal failure."

"Empat puluh tiga kasus pasien gagal ginjal kronik (GGK) yang menjalani dialisis kronik di Divisi Ginjal Hipertensi,Fakultas Kedokteran Universitas Indoneia/Rumah Sakit Umum Pusat Nasional Dr. Cipto Mangunkusumo, Jakarta selama bullan Oktober 2003 sampai dengan bulan Februari 2004 , di lakukan pemeriksaan ekokardiografi untuk melihat fungsi diastolik ventrikel kiri dan penilaian indeks massa ventrikel kiri."