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ASUHAN KEPERAWATAN PADA TN.

S DENGAN CHRONIC
KIDNEY DISEASE (CKD)
di Ruang Unit Perawatan Intensif – RSU. Karsa Husada Batu

KARYA ILMIAH AKHIR NERS

COVER

ANANDA RIFQI FIRDAUS, S.Kep


(NIM: 202110461011023)

PROGRAM STUDI PROFESI NERS


FAKULTAS ILMU KESEHATAN
UNIVERSITAN MUHAMMADIYAH MALANG
2022

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ASUHAN KEPERAWATAN PADA TN. S DENGAN CHRONIC
KIDNEY DISEASE (CKD)
di Ruang Unit Perawatan Intensif – RSU. Karsa Husada Batu

KARYA ILMIAH AKHIR NERS

Diajukan Kepada Universitas Muhammadiyah Malang Untuk Memenuhi


Salah Satu Persyaratan Dalam Menyelesaikan Program Studi Profesi Ners

Disusun Oleh:
ANANDA RIFQI FIRDAUS, S.Kep
(NIM: 202110461011023)

PROGRAM STUDI PROFESI NERS


FAKULTAS ILMU KESEHATAN
UNIVERSITAN MUHAMMADIYAH MALANG
2022

ii
LEMBAR PERSETUJUAN

iii
HALAMAN PERNYATAAN ORISINALITAS

Saya yang bertanda tangan di bawah ini:

Nama : Ananda Rifqi Firdaus, S.Kep


NIM : 202110461011023
Program Studi : Program Pendidikan Profesi Ners
Judul Karya Ilmiah : Asuhan Keperawatan Pada Tn. S dengan Chronic
Kidney Disease (CKD) di Ruang Unit Perawatan
Intensif RSU. Karsa Husada Batu.
Menyatakan dengan sebenarnya bahwa Tugas Akhir yang saya tulis ini benar-benar
hasil karya saya sendiri, bukan merupakan pengambilalihan tulisan atau pikiran
orang lain yang saya akui sebagai tulisan atau pikiran saya sendiri.

Apabila dikemudian hari dapat dibuktikan bahwa Tugas Akhir ini adalah hasil
jiplakan maka saya bersedia menerima sanksi atas perbuatan tersebut.

Malang, 19 Mei 2022


Yang Membuat Pernyataan

Ananda Rifqi Firdaus, S.Kep


NIM. 202110461011023
DAFTAR ISI

COVER .................................................................................................................... i
LEMBAR PERSETUJUAN................................................................................... iii
LEMBAR PENGESAHAN ................................................................................... iv
DAFTAR ISI ........................................................................................................... v
ABSTRAK ............................................................................................................ vii
ABSTRACT ......................................................................................................... viii
BAB I ...................................................................................................................... 9
PENDAHULUAN .................................................................................................. 9
1.1 Latar Belakang ......................................................................................... 9
1.2 Rumusan Masalah ........................................................................................ 11
1.3 Tujuan Penulisan.......................................................................................... 11
1.3.1 Tujuan Umum........................................................................................ 11
1.3.2 Tujuan Khusus ....................................................................................... 11
1.4 Manfaat Penulisan .................................................................................. 11
BAB II ................................................................................................................... 13
TINJAUAN PUSTAKA ....................................................................................... 13
2.1 Konsep Chronic Kidney Disease (CKD)................................................ 13
2.1.1 Definisi Chronic Kidney Disease (CKD). .......................................... 13
2.1.2 Gambaran Struktur Ginjal ............................................................... 13
2.1.3 Etiologi ............................................................................................ 15
2.1.4 Klasifikasi Chronic Kidney Disease (CKD) ................................... 16
2.1.5 Patofisiologis Chronic Kidney Disease (CKD) dengan Hipovolemia
17
2.1.6 Komplikasi Choric Kidney Disease (CKD) .................................... 18
2.2 Pendekatan di Unit Perawatan Intensif ........................................................ 22
2.2.1 Pengkajian ............................................................................................. 22
2.2.3 Diagnosa Keperawatan (SDKI) ............................................................. 23
BAB III WOC (WEB OF CAUTION) ................................................................ 31
BAB IV CASE ASSESSMENT DAN CASE MANAGEMENT ........................ 32

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4.1 Fokus Pengkajian dan Pemeriksaan Penunjang ..................................... 32
4.2 Diagnosa Keperawatan (SDKI) .............................................................. 38
4.3 Standar Luaran Keperawatan Indonesia (SLKI) .................................... 39
4.4 Standar Intervensi Keperawatan Indonesia (SIKI) ................................. 40
BAB V PEMBAHASAN ...................................................................................... 43
5.1 Analsisis Pengkajian dan Pemeriksaan Penunjang................................. 43
5.2 Analisis Diagnosa Keperawatan ............................................................. 44
5.3 Analisis Intervensi .................................................................................. 45
5.4 Rekomendasi Terapi/ Intervensi Lanjutan yang dapat Dilakukan Rumah
Sakit dan Komunitas .......................................................................................... 47
DAFTAR PUSTAKA ........................................................................................... 49
LAMPIRAN .......................................................................................................... 53
Lampiran 1. Lembar Hasil Deteksi Plagiasi ..................................................... 53
Lampiran 2. Lembar Pernyataan Orisinalitas Karya Ilmiah ............................ 55
Lampiran 3. Lembar Konsultasi ........................................................................ 56
Lampiran 4. Lembar Asuhan Keperawatan....................................................... 57

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