Keywords
Hypervolemia
Emergency Nursing
Nursing Care
Case Study
Data Availability Statement
The data supporting the findings of this study are available from the corresponding author upon reasonable request. The data are not publicly available because they contain information that could compromise the privacy and confidentiality of the patients.
How to Cite
Abstract
Background: Chronic Kidney Disease (CKD) is an irreversible disorder characterized by progressive loss of kidney function, resulting in impaired fluid, electrolyte, and metabolic balance. Hypervolemia is a common nursing problem that may lead to edema, hypertension, and respiratory complications if not managed appropriately.
Objective: To describe the implementation of the nursing process and evaluate patient outcomes in individuals with chronic kidney disease and the nursing diagnosis of hypervolemia receiving emergency nursing care in the High Care Unit (HCU).
Methods: A descriptive case study using the nursing process approach was conducted on two patients with Chronic Kidney Disease admitted to the HCU Ciliwung Ward, Dr. Saiful Anwar Hospital, Malang, Indonesia, from December 4–6, 2024. Data were collected through interviews, physical examinations, clinical observations, medical record reviews, and nursing documentation. Data were analyzed descriptively following the stages of assessment, diagnosis, intervention, implementation, and evaluation.
Discussion: Both patients presented with oliguria, edema, pain during urination, and fluid intake exceeding output, leading to the priority nursing diagnosis of hypervolemia. Nursing interventions included hemodynamic monitoring, monitoring fluid intake and output, restricting fluid and salt intake, elevating the head of the bed to 30–40°, and collaborating in diuretic therapy. After three days, both patients showed improved urine output, reduced edema, improved fluid balance, and decreased symptoms, although hypervolemia was only partially resolved.
Conclusion: Hypervolemia management effectively improved fluid balance, hemodynamic stability, and the clinical condition of patients with Chronic Kidney Disease.
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Copyright (c) 2026 Era Ruswanti, Christianto Nugroho (Author)