DAFTAR ISI

Halaman
Halaman Pengesahan............................................................................... i
Kata Pengantar.......................................................................................... ii
Daftar isi.................................................................................................... iv
Daftar Tabel............................................................................................... vi
Daftar Gambar........................................................................................... vii

BAB I PENDAHULUAN............................................................................. 1
a. Latar Belakang.................................................................................... 1
b. Rumusan Masalah............................................................................... 3
c. Tujuan Penulisan................................................................................. 3
d. Manfaat Penulisan............................................................................... 4

BAB II TINJAUAN PUSTAKA.................................................................... 5

a. Konsep CKD/Chronic Kidney Disease................................................. 5
a) Definisi CKD.................................................................................. 5
b) Faktor Risiko CKD......................................................................... 6
c) Patofisiologi CKD........................................................................... 7
d) Manifestasi Klinis CKD.................................................................. 8
e) Komplikasi CKD............................................................................. 8
f) Pemeriksaan Diagnostik CKD....................................................... 9
g) Penatalaksanaan CKD.................................................................. 9
b. Konsep Hemodialisis............................................................................. 11
a). Prinsip Etik dan Legal Aspek Tindakan Hemodialisis.................... 11
b). Definisi Hemodialisis...................................................................... 11
c). Prinsip Dasar Hemodialisis............................................................. 12
d). Sistem Hemodialisis....................................................................... 13
e). Indikasi Hemodialisis...................................................................... 14
f). Pelaksanaan Hemodialisis.............................................................. 14
g). Preskripsi/Peresepan Hemodialisis................................................ 15
h). Komplikasi yang Muncul dari Tindakan Hemodialisis.................... 18
i). Adekuasi Hemodialisis................................................................... 20
c. Konsep CKD pada Anak yang Menjalani Hemodialisis......................... 21
a) Definisi CKD pada Anak................................................................ 21
b) Etiologi dan Faktor Risiko CKD pada Anak................................... 22
c) Patofisiologi CKD pada Anak........................................................ 22

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 d) Manifestasi Klinis CKD pada Anak................................................ 23
e) Strategi Pengelolaan CKD pada Anak.......................................... 24
d. Konsep Asuhan Keperawatan CKD on Hemodialisis Pada Anak......... 26
a) Pengkajian Keperawatan............................................................... 27
b) Diagnosis Keperawatan................................................................. 29
Diagnosis Keperawatan Predialisis............................................... 29
Diagnosis Keperawatan Intradialisis.............................................. 30
Diagnosis Keperawatan Postdialisis.............................................. 30
c) Rencana Asuhan Keperawatan..................................................... 31
d) Implementasi Keperawatan........................................................... 48
e) Evaluasi Keperawatan................................................................... 48
e. Pathway CKD on Hemodialisis Pada Anak........................................... 49

BAB III ASUHAN KEPERAWATAN........................................................... 51

a) Pengkajian..................................................................................... 51
b) Analisa Data.................................................................................. 58
c) Diagnosis Keperawatan................................................................. 61
d) Intervensi Keperawatan................................................................. 62
e) Implementasi Keperawatan........................................................... 65
f) Evaluasi Keperawatan................................................................... 66

BAB IV Penutup......................................................................................... 71
a) Kesimpulan.................................................................................... 71
b) Saran............................................................................................. 74

DAFTAR PUSTAKA.................................................................................. 75

CURRICULUM VITEA............................................................................... 77

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 DAFTAR TABEL

Tabel Halaman
Tabel 1. Kelainan Struktur dan Fungsi Ginjal..................................................... 5
Tabel 2. Tahapan CKD....................................................................................... 5
Tabel 3. Kategori Albuminuria dalam CKD........................................................ 5
Tabel 4 Stratifikasi Risiko CKD.......................................................................... 6
Tabel 5. Kebutuhan Protein Pasien CKD........................................................... 10

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 DAFTAR GAMBAR

Tabel Halaman
Gambar 1. Proses Difusi, Ultrafiltrasi dan Konveksi.......................................... 12
Gambar 2. Prinsip Kerja Mesin Hemodialisis..................................................... 13
Gambar 3. Grafik Profiling Ultrafiltrasi................................................................ 16
Gambar 4. Contoh Preskripsi/Peresepan Hemodialisis..................................... 18
Gambar 5. Rumus Adekuasi Hemodialisis......................................................... 20
Gambar 6. Klasifikasi CKD pada Anak............................................................... 22
Gambar 7. Contoh Preskripsi Hemodialisis Anak.............................................. 26

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 DAFTAR LAMPIRAN

Lampiran Halaman
Lampiran 1. Lembar Observasi.......................................................................... 78

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