Laporan Kasus Perempuan 70 Tahun dengan Chronic Kidney Disease Stage V Non Dialisis di RSU Cut Meutia Lhokseumawe

Hasanatul Khairiyah; Yenni Sulisma

doi:10.55606/termometer.v3i3.5411

Authors

Hasanatul Khairiyah Universitas Malikussaleh
Yenni Sulisma Universitas Malikussaleh

DOI:

https://doi.org/10.55606/termometer.v3i3.5411

Keywords:

CKD, GFR, Hemodialysis, Women

Abstract

Chronic kidney disease (CKD) is defined as kidney damage or estimated glomerular filtration rate (eGFR) less than 60 ml/min/1.73 mt2, which lasts for 3 months or more, regardless of the cause. CKD initially shows no signs and symptoms but can progress to kidney failure. Screening, diagnosis, and appropriate management by primary care physicians. The purpose of this study was to describe the symptoms and management of CKD in elderly patients who did not undergo hemodialysis. The method in this study was a case report. Primary data were obtained through anamnesis and physical examination. The results obtained were a 70-year-old woman was brought to the Emergency Room of Cut Meutia Hospital with complaints of shortness of breath since 1 day SMRS. In the Emergency Room, the patient complained of weakness and looked pale. The patient also complained of nausea but did not vomit and the amount of urine was small. Physical examination found anemic conjunctiva and CVA percussion pain. Laboratory examination showed the patient's hemoglobin level was 4.81 g/dL. The management given was only pharmacological because the patient refused hemodialysis. The prognosis of this case study is dubia ad malam.

Downloads

Download data is not yet available.

References

Anggraini, D. (2022). Clinical aspects and laboratory examination of chronic kidney. 9(2).

Bina, Direktorat Pelayanan Medik, Direktorat Jenderal Bina Pelayanan, & Departemen Kesehatan RI. (2008). Pedoman pelayanan hemodialisis di sarana pelayanan kesehatan.

Fadhilah, A. Z. (2014). Chronic kidney disease stage V. Jurnal Agromed Unila, 2(1), 110–113.

Febyolla, C. L., Pardilawati, C. Y., Junando, M., & Damayanti, E. (2025). Article review: Faktor risiko terjadinya gagal ginjal kronik di Indonesia. Journal of Forensic Science, 3, 50–57. https://doi.org/10.63004/jfs.v3i1.646

Hustrini, N. M. (2023). Chronic kidney disease care in Indonesia: Challenges and opportunities. Acta Medica Indonesiana, 55(1), 1–3. https://doi.org/10.1038/ki.2015.230.3

KDIGO. (2023). Clinical practice guideline for evaluation and management of chronic kidney disease. Kidney International Supplements, (July).

Kementerian Kesehatan Republik Indonesia. (2013). Riset kesehatan dasar 2013. Jakarta.

Kementerian Kesehatan Republik Indonesia. (2023). Pedoman nasional pelayanan kedokteran tata laksana penyakit ginjal kronik.

Munirwan, H., & Januaresty, O. (2020). Penyakit jantung hipertensi dan gagal jantung. Jurnal Kedokteran Nanggroe Med.

Nugraha, S. A., & Utama, W. T. (2023). Analisis hipertensi sebagai faktor risiko terjadinya penyakit ginjal kronik.12, 600–604.

Penyakit ginjal kronis. (2021). Diagnosis dan manajemen penyakit ginjal kronis (PGK). 2(4), 1135–1142.

Pralisa, K., Anggrahini, D., Dewi, K., & In, M. (2020). Gambaran etiologi penyakit ginjal kronik stadium V pada pasien rawat inap di RSUD Dokter Soedarso Pontianak tahun 2017–2018. Jurnal Clinic, 6(3), 59–65. https://doi.org/10.26418/jc.v6i3.45308

Rhee, C. M., Wang, A. Y., Biruete, A., Kistler, B., Kovesdy, C. P., Zarantonello, D., Ko, G. J., Piccoli, G. B., Garibotto, G., Brunori, G., Sumida, K., Lambert, K., Moore, L. W., Han, S. H., Narasaki, Y., & Kalantar-Zadeh, K. (2023). Nutritional and dietary management of chronic kidney disease without dialysis. Journal of Renal Nutrition, 33(6), S56–S66. https://doi.org/10.1053/j.jrn.2023.06.010

Vaidya, S. R., & Aeddula, N. R. (2023). Chronic kidney disease (CKD). Medscape, 351(13), 186–191.

Yuniarti, W. (2021). Journal health & science community: Journal health and science. Gorontalo, 5, 341–347.