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All Journal JURNAL CITRA KEPERAWATAN Manuju : Malahayati Nursing Journal Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Journal of Nursing Care Journal of Telenursing (JOTING) MAHESA : Malahayati Health Student Journal Jurnal Inovasi Pengabdian dan Pemberdayaan Masyarakat Holistik Jurnal Kesehatan
Yulianita, Henny
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Humanities Dentistry Economics, Econometrics & Finance Health Professions Medicine & Pharmacology Nursing Physics Public Health Social Sciences

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Journal : JURNAL CITRA KEPERAWATAN

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Care Bundles for Chronic Kidney Disease (CKD) Patients with Hypervolemia: Case Reports Aqilah, Faiha Nurul; Praptiwi, Atlastieka; Yulianita, Henny
JURNAL CITRA KEPERAWATAN Vol 13 No 2 (2025): Jurnal Citra Keperawatan Edisi : Desember
Publisher : Poltekkes Kemenkes Banjarmasin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31964/jck.v13i2.395

Abstract

The rising prevalence of Chronic Kidney Disease (CKD) highlights its significance as a global health concern requiring comprehensive management. CKD is characterized by a progressive, irreversible decline in renal function, leading to fluid and electrolyte imbalances. One such complication is hypevolemia, which can result in serious health consequences. Our case reports evaluates the effectiveness of implementing care bundles that incorporated both independent and collaborative nursing intervention. Data collection was conducted through observation, interviews, physical examinations, and supporting data. The subjects were two stage V CKD patients with hypervolemia at Umar Wirahadikusumah Hospital in Sumedang, West Java. Over a five-day period, interventions included patient education, fluid restriction, proper positioning, breathing relaxation techniques, and collaborative treatments such as administration of diuretics, antihypertensives, hemodialysis, and ascitic fluid paracentesis.The implementation of care bundles resulted in improved clinical outcomes, including stabilized blood pressure (120–130/70–80 mmHg), decreasing abdominal circumference (6–15%), reducing dyspnea (respiratory rate 20–25 breaths/min), and increasing oxygen saturation (98–99%). Nurses play a key role as caregivers and coordinators in delivering both independent and collaborative interventions. Through an interdiciplinary approach, the implementation of care bundles has proven effective in achieving optimal care goals and improving patient health outcomes.
Co-Authors Aat Sriati Aqilah, Faiha Nurul Atlastieka Praptiwi Diki Kurniawan Dyah Setyorini Ema Arum Rukmasari Fitriani, Anbar Hendrawati Hendrawati Hernanda, Messayu Fathasari Hidayat, Nabila Nur Fadilah Indra Maulana, Indra Irman Somantri Iyus Yosep Kosim Kosim Mahali, Nia Ainun Nadina Mamat Lukman, Mamat Maria komariah Novia Rahmawati Priladani , Dhea Shobriana Rahmawati, Nur Rini Rositianti, Rositianti Sari, Yuyun Kartika Sugiharto, Firman Taty Hernawaty Theresia Eriyani Toyibah, Rida Siti Urip Rahayu, Urip Wadhanti, Dewa Ayu Puspa Yasmine, Hanna Alya Yudianto, Kurniawan Zahra, Hanna Aulia