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All Journal PubHealth Jurnal Kesehatan Masyarakat Proceeding ISETH (International Summit on Science, Technology, and Humanity)
Suryaningsih, Retno
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Computer Science & IT Engineering Health Professions Medicine & Pharmacology Public Health Social Sciences Other

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Managing Pulmonary Edema and Electrolyte Imbalance in Advanced Chronic Kidney Disease: A Case Report Anggreheni, Putri Dwi; Suryaningsih, Retno
Proceeding ISETH (International Summit on Science, Technology, and Humanity) 2024: Proceeding ISETH (International Summit on Science, Technology, and Humanity)
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/iseth.5532

Abstract

Background: Chronic kidney disease (CKD) is a progressive disorder that leads to fluid overload and electrolyte imbalances, increasing the risk of pulmonary edema, hyperkalemia, and hyponatremia. These complications contribute to high morbidity and mortality, necessitating a multidisciplinary approach for optimal management. Case Descriprion: A 74-year-old female with stage V CKD presented with acute respiratory distress and severe dyspnea due to pulmonary congestion. Laboratory tests revealed hyperkalemia (6.76 mEq/L), hyponatremia (129 mEq/L), and metabolic acidosis. Chest X-ray confirmed bilateral pulmonary edema, while ECG showed peaked T waves, indicating potassium-induced cardiac instability. Initial management with loop diuretics failed, requiring urgent hemodialysis for fluid removal and electrolyte correction. Calcium gluconate, insulin-dextrose, and potassium binderswere used to control hyperkalemia, while fluid restriction and slow sodium correction were implemented for hyponatremia. The patient showed significant improvement within 48 hours, with stabilization of respiratory function and electrolyte levels. Discussion: Pulmonary edema in CKD results from volume overload, RAAS activation, and endothelial dysfunction, while electrolyte imbalances arise from impaired renal excretion. Management involves diuretics, dialysis, and targeted electrolyte correction. Emerging therapies such as SGLT2 inhibitors and novel potassium binders offer promising outcomes. Conclusion: This case highlights the importance of early intervention, hemodialysis, and precise electrolyte management in CKD patients with pulmonary edema. Future research should focus on personalized nephroprotective strategies to enhance patient outcomes.
Pencegahan Hipertensi melalui Edukasi dan Deteksi Dini di Posyandu Lansia Keden Ngadirejo, Kabupaten Sukoharjo Azenta, Moch. Tabriz; Sulthon, Pradestya Achmad; Kamila, Aulida Azkia; Zahra, Putri Fatimah; Addawiyah, Ayudya Intan Robbiatul; Andini, Lintang; Anam, Ilham Hafizha Maulana; Amelia, Nesza; Dimentieva, Aizah Nautica; Suryaningsih, Retno
PubHealth Jurnal Kesehatan Masyarakat Vol. 4 No. 4 (2026): Edisi April
Publisher : Ilmu Bersama Center

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56211/pubhealth.v4i4.1663

Abstract

Hipertensi merupakan masalah kesehatan utama pada lansia dengan prevalensi tinggi dan dampak signifikan terhadap morbiditas kardiovaskular, terutama di wilayah dengan keterbatasan akses layanan kesehatan. Penelitian ini bertujuan untuk mengevaluasi perubahan pengetahuan lansia terkait Hipertensi sebelum dan sesudah pemberian edukasi kesehatan di Posyandu Lansia Keden Ngadirejo, Kabupaten Sukoharjo. Penelitian menggunakan jenis penelitian korelasi dengan desain semi-eksperimental before and after pada 49 lansia berusia 60 tahun ke atas yang dipilih menggunakan teknik total sampling. Intervensi berupa edukasi kesehatan terstruktur mengenai Hipertensi dan pemeriksaan tekanan darah dilaksanakan dalam satu sesi. Data pengetahuan dikumpulkan melalui kuesioner pretest dan posttest, kemudian dianalisis menggunakan uji Wilcoxon signed-rank untuk melihat perubahan pengetahuan pada setiap peserta. Hasil menunjukkan perubahan pengetahuan yang bermakna secara statistik (W = 60,00; z = -3,256; p < 0,001) dengan estimasi Hodges-Lehmann sebesar -1,000, yang mengindikasikan nilai posttest secara konsisten lebih tinggi dibandingkan nilai pretest pada seluruh peserta. Karakteristik peserta didominasi perempuan (85,7%) dengan kelompok usia terbanyak pada rentang 66-70 tahun (40,8%). Kesimpulannya, posyandu lansia merupakan platform yang efektif untuk pelaksanaan edukasi kesehatan berbasis komunitas dalam upaya pencegahan Hipertensi pada populasi lanjut usia di wilayah rural.
Co-Authors Addawiyah, Ayudya Intan Robbiatul Amelia, Nesza Anam, Ilham Hafizha Maulana Anggreheni, Putri Dwi Azenta, Moch. Tabriz Dimentieva, Aizah Nautica Kamila, Aulida Azkia Lintang Andini Sulthon, Pradestya Achmad Zahra, Putri Fatimah