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Priambodo, Ayu Prawesti
Fakultas Keperawatan Universitas Padjadjaran
Religion Aerospace Engineering Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Computer Science & IT Decision Sciences, Operations Research & Management Dentistry Education Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Medicine & Pharmacology Neuroscience Nursing Physics Public Health Social Sciences Veterinary Other

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Journal : Journal of Multidisciplinary Research

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Nursing Management of Patients with HHD, Cardiac Shock, Pleural Effusion, and Electrolyte Imbalance in the High Care Unit Ambarwati, Niken; Mirwanti, Ristina; Priambodo, Ayu Prawesti
Journal of Multidisciplinary Research Vol. 2 No. 3 (2026): April
Publisher : Utami Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70963/jmr.v2i3.556

Abstract

The Hypertensive Heart Disease (HHD) is a chronic condition that arises from uncontrolled hypertension, resulting in myocardial damage and ventricular dysfunction that can increase the risk of cardiogenic shock. Pleural effusion occurs because of cardiac congestion and causes fluid buildup in the pleural cavity. In patients with this condition, unstable electrolyte levels are often found in the body. The combination of hypertensive heart disease, cardiogenic shock, pleural effusion, and electrolyte disturbances is a complex problem, requiring a multidisciplinary approach to prevent fatal complications such as multisystem failure and risk of death. This case report aims to describe nursing management in patients with hypertensive heart disease, cardiogenic shock, pleural effusion, and electrolyte disturbances, then relate it to scientific evidence through a literature review. The method used in this study was a case report. The subject of this case report was a 65-year-old woman with hypertensive heart disease, cardiogenic shock, pleural effusion, and electrolyte disturbances in the High Care Unit. Nursing management of patients with hypertensive heart disease, cardiogenic shock, pleural effusion, and electrolyte disturbances includes comprehensive assessment, collaborative intervention in the administration of inotropics, fluid management, oxygenation management, and collaboration in pleural puncture, as well as evaluation. Patients with hypertensive heart disease, cardiogenic shock, pleural effusion, and electrolyte disturbances present complex problems that can lead to death if not treated quickly and appropriately. Nurses play a major role in nursing management through assessment, problem identification, intervention, and periodic evaluation of hemodynamic status, fluid balance, and patient response to therapy.
Co-Authors Aan Nur'aeni Aan Nuraeni Aan Nuraeni Aan Nuraeni Aan Nuraeni Aan Nuraeni Aan Nuraeni Abdullah, Dirman Achmad Faried Achmad Faried adimiharja, adimiharja Akbar, M. Rizki Ali, Samin M. Amelia, Iftikar Salma Anastasia Anna Andrianthi, Salsyah Anita Setyawati Anna, Annastasia Arimbi Karunia Estri Asmara, A Danang Audly, Tazkia Badliana Cahyani, Gita Cecep Eli Kosasih Christina, Mikha Cindya Ukhti Isti Angeli Deris Riandi Setiawan Dewi Dewi Dewi, Lisna Diana Rahayu, Diana Didi Kurniawan Donny Mahendra Donny Nurhamsyah Donny Nurhamsyah Efri Widianti Elsadai, Elsadai Emmy H Pranggono Endah Yuliany Rahmawati Esti Dwi Anani Etika Emaliyawati Eva Puspawatie Fachru Syaban Hidayat Fanny Adistie Fauziah, Oktaviani Febianti, Ranti Freitas, Lurdes Acorta Furkon Nurhakim Handayani, Nathasa Harlasgunawan, Alia Rahmi Harun, Hasniatisari Heriyansyah, Heriyansyah Iqbal Pramukti Iyus Yosep J, Ridillah Vani Jessica Jessica Karisa, Putri Kumalasari, Regina Indah Kurhayati, Kurhayati Kurniawan Yudianto Kusman Ibrahim Laili Rahayuwati Larashati, Defa Maryam, Nina Masruroh, Rurin Muhaemin Muhaemin Nasrullah, Kurnia Natalia Tambunan Niken Ambarwati, Niken Noya, Fricilia Nur Azmi, Nur Nurazizah, Auliyaurrahmah Nurhayati Nurhayati Nursiswati Nur’aeni, Aan Oktafianti, Mutiara Annisa Palo, Daud Pamungkas, Sultan Muhammad Wahyu Pebianti, Ranti Pen, Inggried Angelica Valentina Wiliyams Pranata, Yodha Prasetyaningrum, Widyadari Pratitis, Izzati Adha Rahman, Lutfi Rani Arinda Refina, Ayene Reis, Silvestre Dos Risnianingsih, Nina Ristina Mirwanti Ristina Mirwanti Ristina Mirwanti Ristina Mirwanti, Ristina Rizkianti, Intan Rycco Darmareja Sandra Pebrianti Saparingga Dasti Putri Sari Fatimah Sari, Wulan Puspita Selly Desiani Sesilia, Fitri Siti Yulipah Agustini Sri Hendrawati Sugiharto, Firman Sulianingsih, F Sri Sulistiani, Eka Susanti, Vera Tambunan, Natalia Theresia Avila Kurnia Titin Sutini Titin Sutini Trisyani , Yanny ubleeuw, Irianti Winara, Winara Wiwi Mardiah Wiwin Yudiah Yanny Trisyani Yanny Trisyani Yuliandani, Erin Yusanti, Irma Zustantria Agustin Minggawati