NURSING CARE OF

UREMIC
•Presented by:
SYNDROME
I Putu Gede Santika Yudha Negara
I Kadek Wardika
Jingga Martaria Prima Fajrin
MENU
DEFINITION
ETIOLOGY
CLINICAL
MANIFESTATION
MANAGEMENT
NURSING DIAGNOSE
& INTERVENTION

Nursing Care of Uremic Syndrome 2

 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)

Nursing Care of Uremic Syndrome 3

 ETIOLOGY
1. Prerenal (hypopearfision
renal)
2. Lutrarenal (actual damaged of
renal tiassue)
3. Postrenal (obstruction of urine
flow)

Nursing Care of Uremic Syndrome 4

 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.
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 MANAGEMENT
• Medical Management
1. 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

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 MANAGEMENT
• Nursing Management
1. Mesure weight everyday
2. Account of fluid balance each 24 hours
3. Give nutrition that usually 2gr/days

Nursing Care of Uremic Syndrome 7

 NURSING DIAGNOSE & INTERVENTION

1. Excess fluid volume related to edema

Goal: depending of hidration adequate
Intervention:
a. Asses and record vital signs
b. Measure and record intake and output every 8 hours
c. Limited to intake fluid
d. Give the oral care every every 2 hours
e. Collaboration with others medical team to give
diauretic

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 NURSING DIAGNOSE & INTERVENTION
2. High risk to decreasing of heart rate ralated to
edema
Goal: depending of heart rate normally
Intervention:
a. Monitor blood pressure and heart frequency
b. Auscultation to heart sound
c. Limited to input fluid
d. Asses the nail colour, mucus, and nail basic
e. Collaboration with medical team to give natrium
bikarbonat or natrium polisitiren sulfonat (kayexalate)
Nursing Care of Uremic Syndrome 9
 NURSING DIAGNOSE & INTERVENTION
3. Less of knowledge related to less information
Goal: patient say understand about the disease
intervention:
a. Asses understanding and previous learning
b. Present all material in a manner appropriate
c. to knowledge base
d. Teach about all dignostic and treatment procedures
e. It the client will be managed in the community
f. Teach measure to prevent fiither urolithiasis
(Doengoes, 2002)

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Nursing Care of Uremic Syndrome 11