Emergency Nursing Care for Mr. A With Urinary System Disorders Chronic Kidney Failure In The ICU Vita Insani Hospital Pematangsiantar
Keywords:
Emergency Nursing Care, Urinary System, Chronic Kidney Failure
Abstract
Chronic Kidney Failure (CKD) is a progressive and persistent decline in kidney function. According to WHO (2023), the number of sufferers reached 850 million, or approximately 10% of the world's population of approximately 8 billion. This study aims to provide comprehensive emergency nursing care for CKD patients. This descriptive study used a case study approach on one respondent. Nursing care was provided for 3 days of treatment (April 29–May 1, 2026) in the ICU of Vita Insani Hospital, Pematangsiantar. Data collection used an Emergency Assessment format, informed consent, and SOP. After nursing care for 3 days of treatment, three nursing diagnoses were obtained, namely: Impaired gas exchange, Hypervolemia and Decreased intracranial adaptive capacity. The final evaluation results per diagnosis (impaired gas exchange, hypervolemia, and decreased intracranial adaptive capacity) showed that all nursing problems were not resolved because the patient was declared dead (exit) on the fourth day of treatment. Patient families are expected to promote very strict adherence to routine hemodialysis schedules and fluid intake restrictions to prevent recurrent emergencies.
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Akbaş, E., & Yiğitoğlu, G. T. (2020). Nursing care for a patient with bipolar disorder (mixed attack) based on the Neuman Systems Model: A case report. Journal of Psychiatric Nursing.
Al-Zein, H. J., & Al-Khawaldeh, O. A. (2015). Gender-role identity among Jordanian male nursing students: a descriptive study. European Scientific Journal, 11(17).
Alcusky, M., McManus, D. D., Hume, A. L., Fisher, M., Tjia, J., & Lapane, K. L. (2019). Changes in Anticoagulant Utilization Among United States Nursing Home Residents With Atrial Fibrillation From 2011 to 2016. Journal of the American Heart Association, 8(9), e012023. https://doi.org/10.1161/JAHA.119.012023
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Esmond, G. (2013). Nursing patients with respiratory disorders. Alexander’s Nursing Practice, 67, 51.
Folami, F. F. (2017). Gender Inequality and Role-Strained among Male Nursing Students in Selected Nursing Institution, Lagos, Nigeria. Journal of Education and Training Studies, 5(6), 214–219.
Hockenberry, M. J., Wilson, D., & Rodgers, C. C. (2021). Wong’s essentials of pediatric nursing-e-book. Elsevier health sciences.
Iheduru‐Anderson, K. (2020). Barriers to career advancement in the nursing profession: Perceptions of Black nurses in the United States. Nursing Forum, 55(4), 664–677. https://doi.org/10.1111/nuf.12483
Jaggi, P., Tomlinson, R., McLelland, K., Ma, W., Manson-McLeod, C., & Bullard, M. J. (2018). Nursing duties and accreditation standards and their impacts: The nursing perspective. Applied Nursing Research, 40, 61–67. https://doi.org/10.1016/j.apnr.2017.12.009
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Maginnis, C. (2018). A discussion of professional identity development in nursing students. Journal of Perspectives in Applied Academic Practice, 6(1).
Nasrabadi, A. N., Mohammadi, N., Rooddehghan, Z., Shabani, E. A., Bakhshi, F., & Ghorbani, A. (2021). The stakeholders’ perceptions of the requirements of implementing innovative educational approaches in nursing: A qualitative content analysis study. BMC Nursing, 20(1), 131.
Neto, J., Fernandes, R., Andrade, L., Fernandes, I., Martins, T., do Céu Barbieri-Figueiredo, M., Carvalho, F., & Lima, L. (2025). Invasive procedures and atraumatic care in pediatric nursing practice: nurses’ perceptions. Frontiers in Pediatrics, 13, 1543138. https://doi.org/10.3389/fped.2025.1543138
Polit, D. F., & Beck, C. T. (2022a). Nursing Reaserch : Generatingand Assessing Evidance For Nursing Practice 9th ad Lippicottwilliams & Wilkins (7th ed., Vol. 4, Issue Januari).
Polit, D. F., & Beck, C. T. (2022b). Nursing Research; Principles and Methods. In 2022 (Vol. 4, Issue 1, pp. 1–697).
Ramadan, O. M. E., Hafiz, A. H., Elsharkawy, N. B., Katooa, N. E., Abunar, A., Abdelaziz, E. M., Baraka, S. I. M., Shaban, M., & Baraka, N. I. M. (2024a). Effectiveness of the Pediatric Nursing Excellence Model on Nurses’ Knowledge and Practice in Pediatric Orthopedic Surgery Care: A Randomized Controlled Trial. Children, 11(12), 1457. https://doi.org/10.3390/children11121457
Ramadan, O. M. E., Hafiz, A. H., Elsharkawy, N. B., Katooa, N. E., Abunar, A., Abdelaziz, E. M., Baraka, S. I. M., Shaban, M., & Baraka, N. I. M. (2024b). Effectiveness of the Pediatric Nursing Excellence Model on Nurses’ Knowledge and Practice in Pediatric Orthopedic Surgery Care: A Randomized Controlled Trial. Children, 11(12), 1457. https://doi.org/10.3390/children11121457
Rozveh, A. K., Rasouli, D., & Ahmady, S. (2023). Effectiveness of nursing virtual training courses based on the Kirkpatrick Model. Journal of Education and Health Promotion, 12(1), 203. https://doi.org/10.4103/jehp.jehp_913_22
Sanchez, G. V., Biedron, C., Fink, L. R., Hatfield, K. M., Polistico, J. M. F., Meyer, M. P., Noe, R. S., Copen, C. E., Lyons, A. K., Gonzalez, G., Kiama, K., Lebednick, M., Czander, B. K., Agbonze, A., Surma, A. R., Sandhu, A., Mika, V. H., Prentiss, T., Zervos, J., … Rehman, N. K. (2020). Initial and Repeated Point Prevalence Surveys to Inform SARS-CoV-2 Infection Prevention in 26 Skilled Nursing Facilities — Detroit, Michigan, March–May 2020. MMWR. Morbidity and Mortality Weekly Report, 69(27), 882–886. https://doi.org/10.15585/mmwr.mm6927e1
Shi, X.-Q., Guo, S.-L., Zheng, W., Zhang, B.-S., Wang, J., & Yang, B. (2023). Effect of Preventive Nursing on Male Children with Hypospadias in Preventing Postoperative Complications. Journal of the College of Physicians and Surgeons--Pakistan: JCPSP, 33(10), 1153–1158. https://doi.org/10.29271/jcpsp.2023.10.1153
Sümen, A., & Öncel, S. (2021). The Use of Social Cognitive Theory in Nursing Graduate Theses in Turkey: A Systematic Review. Nursing, 2, 3.
Uhr, S. D. (2022). Impacting Positive Breastfeeding Attitudes of Prelicensure Nursing Students Using an Evidence-based Breastfeeding Module (Issue August). University of Wisconsin Milwaukee.
Watson, J., & Simms, L. L. (2022). Nursing: The Philosophy and Science of Caring. In The American Journal of Nursing. University Press of Colorado. https://doi.org/10.2307/3424554
Yuniartika, W., Sudaryanto, A., & Kumalasari, A. Z. (2021). Reducing anxiety level by using progressive relaxation among the elderly people in the nursing home. Enfermería Clínica, 31, S381–S385. https://doi.org/10.1016/j.enfcli.2020.09.030
Published
2026-09-26
How to Cite
Azzahra, M., & Roismansyah, R. (2026). Emergency Nursing Care for Mr. A With Urinary System Disorders Chronic Kidney Failure In The ICU Vita Insani Hospital Pematangsiantar. International Journal of Technology and Education Research, 4(03), 1657-1669. https://doi.org/10.63922/ijeter.v4i03.6683
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