PENGKAJIAN SYSTEM

PERKEMIHAN

Irsanty collein

DEMOGRAFI
umur
Gender
Ras dan etnik
Tanya masalah urologi sebelumnya termasuk tumor, infeksi,batu
atau operasi urologi
Riwayat penyakit DM, hipertensi
Paparan bahan kimia di tempat kerja (hidrokarbon: gasoline,
minyak, bahan metal: mercury, gas: klorin, toluene).

Adakah albumin atau protein di urine Punya masalah dalam kehamilan (proteinuria. diabetes gestasional. peningkatan TD. ISK) Status social ekonomi Kepercayaan terkait sakit Bahasa yang berbeda dengan petugas kesehatan .

RIWAYAT NUTRISI Tanya diet yang mempengaruhi Perubahan diet Intake cairan yang berlebihan atau kurang Pola minum pasien setiap hari: tinggi kalori. cafein Makanan tinggi protein  masalah pada ginjal .

RIWAYAT PENGOBATAN .

PEMERIKSAAN FISIK Ginjal Ureter Bladder .

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PENGKAJIAN PSIKOSOSIAL Ketakutan Marah Cemas Perasaan bersalah kesedihan .

PEMERIKSAAN LABORATORIUM Serum kreatinin BUN Rasio BUN Osmolalitas darah .

TES URINE Urinalisis Warna urine pH Glukosa Keton Bersihan kreatinin elektolit .

and bladder x-rays Intravenous urography  Bowel preparation  Allergy information  Fluids .OTHERS DIAGNOSTIC TESTS Bedside sonography/bladder scanners Computed tomography Kidney. ureter.

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CYSTOGRAPHY AND CYSTOURETHROGRAPHY Instilling dye into bladder via urethral catheter Voiding cystourethrogram Monitoring for infection Encouraging fluid intake Monitoring for changes in urine output and for development of infection from catheter placement .

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then nothing by mouth Injection of radiopaque dye into renal arteries Assessment for bleeding Monitoring of vital signs Absolute bedrest for 4 to 6 hours Serum creatinine measured for several days to assess effects of test .RENAL ARTERIOGRAPHY (ANGIOGRAPHY) Possible bowel preparation Light meal evening before.

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RENAL BIOPSY Percutaneous kidney biopsy Clotting studies Preprocedure care Follow-up care  Assessment for bleeding for 24 hours  Strict bedrest  Monitoring for hematuria  Comfort measures .

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a radionuclide. used Procedure via intravenous infection Follow-up care:  Small amount of radioactive material may be excreted. .RENOGRAPHY Small amount of radioactive material.  Client should avoid changing posture rapidly and avoid falling.  Maintain standard precautions.

vital signs.  Consent is required.OTHER DIAGNOSTIC TESTS Ultrasonography Cystoscopy and cystourethroscopy  Procedure is invasive. and urine output.  Postprocedure care includes monitoring for airway patency.  Encourage client to take oral fluids.  Monitor for bleeding and infection. .

Monitor for infection.RETROGRADE PROCEDURES Retrograde procedures go against the normal flow of urine. Procedure identifies obstruction or structural abnormalities with the instillation of dye into lower urinary tract. . Follow-up care is the same as for a cystoscopic examination.

URODYNAMIC STUDIES Studies that examine the process of voiding include:  Cystometrography  Urethral pressure profile  Electromyography  Urine stream test .

ureter dan bladder x rays IV urograf CT scan Cystograf Renograf USG Angiograf renal Retrograf prosedur .Bladder scanner Kydney.

Biopsi renal .

TUGAS Kumpul minggu depan Diagnosa keperawatan apa saja yang mungkin muncul (minimal 3) Perencanaan .

TUGAS DISKUSI Trauma ginjal/bladder Tumor ginjal/bladder Ginjal polikistik Sindrom nefrotik .