Manajemen Cairan l.03098 Hal-159
Definisi
Mengidentifikasi dan mengelola keseimbangan cairan dan mencegah
komplikasi akibat ketidakseimbangan cairan.
Tindakan
Observasi
-
Monitor status hidrasi (mis. frekuensi nadi, kekuatan nadi, akral, pengisian
kapiler, kelembapan mukosa, turgor kulit, tekanan darah)
-
Monitor berat badan harian
-
Monitor berat badan sebelum dan sesudah dialisis
-
Monitor hasil pemeriksaan laboratorium (mis. hematokrit, Na, K, CI, berat jenis
urine, BUN) Monitor status hemodinamik (mis. MAP, CVP, PAP, PCWP Jika tersedia)
Terapeutik
-
Catat intake-output dan hitung balans cairan 24 jam
-
Berikan asupan cairan, sesuai kebutuhan
-
Berikan cairan intravena, jika perlu
Kolaborasi
-
Kolaborasi pemberian diuretik, jika perlu
Referensi
Bowen, L. (2014). Fluid, electrolyte and acid-base balance. In Dempsey
J, Hillege S, HI R (Eds) Fundamentals of Nursing and Midwifery: A
Person-Centred Approach to Care. Sydney: Lippincott
- Williams and Wilkins.
Burns, S. M. (2014). AACN Essentials of Critical Care Nursing (3th
ed.). New York: McGraw-Hill Education. Dale, W. (2012). Education on fluid
management and encouraging critical thinking skills. Nephrology Nursing
Journal, 39(6), 510-2.
Der, P., McEvoy, M., & Tardiff, J. (2014). Emergency &
Critical Care (8th ed.). USA: Jones & Barlett Learning. Mcintyre, L., Munir,
F., & Walker, S. (2012). Developing a bundle to improve fluid management.
Nursing Times, 108, 18-20.
Pegram, A., & Bloomfield, J. (2015). Nutrition and fluid
management. Nursing Standard, 29(31), 38 Shepherd, A. (2011). Measuring and
managing fluid balance. Nursing Times, 107, 12-6.
