PENURUNAN RESIKO HENTI JANTUNG PADA ASUHAN KEPERAWATAN PASIEN YANG DILAKUKAN HEMODIALISA MELALUI PENGENDALIAN OVERLOAD CAIRAN KALIUM SERUM

Martono Martono

Sari


Abstract: serum potassium overload, hemodialysis, the risk of cardiac arrest. The kidney is the major
controlling homeostasis of fluid, electrolyte and acid-base. Chronic renal failure in the tubules can no
longer switch K+/ H+ to Na+, which ultimately resulted in the risk of the occurrence of cardiac arrest.
This research was conducted to identify fluid overload control serum potassium before and after hemodialysis
done. The design of this research uses comparison approach retrospective to 50 samples taken
randomly. Analysis of data this research using paired t test. The results showed that hemodialysis
proven to improve the levels of serum potassium overload toward better grades and was able to lower
the risk of the occurrence of cardiac arrest evidenced t calculate = 6.277 greater than t = table 2.010
average difference amounted to 57.6%. Discussion: Disorder balance potassium patient kidney failure
chronicle caused by inability of the kidneys to excrete overload potassium serum decline in proportional
to loss of filtration glomerular. Stimulation of aldosterone and increase the excretion of intestinal
potassium is a mechanism of adaptive main to maintain homeostasis potassium up to the levels of
filtration glomerular better. All patients with chronic renal failure are expected to follow and comply
with the hemodialysis program that has regularly scheduled to occur the severity of kidney function is
worse and prevent disruptions on the cardiovascular system, in particular the cardiac arrest.

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