Challenges And Opportunities Of Community Health Center In Initial Emergency Management Of Patients With Acute Kidney Failure

Authors

  • Yulia Emma Wahyu Kristi Astuti Sigalingging INSTITUT KESEHATAN MEDISTRA LUBUK PAKAM

DOI:

https://doi.org/10.35451/jkk.v6i1.2546

Keywords:

Early Warning Score, Healthcare Workers, Primary Care, Catastrophic Diseases, Early Detection, Patient Safety, Medical Emergency, Health Service Quality

Abstract

Acute kidney injury (AKI) is a sudden condition in which kidney function declines drastically, leading to disturbances in fluid balance, electrolyte regulation, and waste excretion. This medical emergency requires immediate intervention as it can result in life-threatening complications. This study discusses the early emergency phase of patients with AKI, focusing on the causes, clinical manifestations, and medical approaches to stabilize patients. Early recognition of AKI is crucial for preventing progression to severe complications such as metabolic acidosis, hyperkalemia, fluid overload, and uremic complications. The abstract highlights key aspects of emergency assessment, including laboratory and imaging evaluations, as well as initial management strategies. Initial treatment involves identifying and addressing underlying causes, fluid resuscitation, electrolyte correction, and determining the need for renal replacement therapy such as emergency dialysis. The role of healthcare professionals is emphasized in providing timely and effective treatment to improve patient outcomes and reduce morbidity and mortality rates. This research aims to provide valuable insights into the early management of AKI emergencies, equipping medical professionals with essential knowledge to optimize patient care and prevent further deterioration. Early management involves identifying and treating the underlying cause, optimizing fluid balance through careful resuscitation, correcting electrolyte imbalances, and assessing the need for renal replacement therapy (such as emergency dialysis). Supportive care, including monitoring for complications like sepsis and cardiovascular instability, is crucial to improving patient outcomes. The role of healthcare professionals is vital in ensuring timely and effective treatment, which can significantly reduce morbidity and mortality associated with AKI. This research aims to provide comprehensive insights into the early emergency management of AKI, equipping medical professionals with essential knowledge to optimize patient care, prevent further deterioration, and improve overall prognosis.

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References

Kidney Injury and Dialysis. Elsevier Health Sciences. Buku ini memberikan penjelasan mendalam mengenai diagnosis, pengelolaan, dan terapi gagal ginjal akut, termasuk indikasi dialisis dan perkembangan terbaru dalam pengobatan.

López-Medrano, F., & Hernández, D. (2021). Acute Kidney Injury: Pathogenesis, Diagnosis, and Treatment. Springer. Buku ini menyajikan informasi lengkap mengenai penyebab, patofisiologi, dan manajemen gagal ginjal akut, dengan pendekatan berbasis bukti.

Ronco, C., Bellomo, R., & Kellum, J. A. (2019). Acute Dialysis Quality Initiative: AKI Management and Renal Replacement Therapy. Springer. Buku ini berfokus pada dialisis dan terapi pengganti ginjal, serta memberikan panduan rinci untuk manajemen GGA.

Siew, E. D., & Ikizler, T. A. (2015). "The Acute Kidney Injury Network: Evidence for Acute Kidney Injury Classification". Nephrology Nursing Journal, 42(5), 421-431. Artikel ini memberikan wawasan tentang pentingnya klasifikasi GGA dan penerapannya dalam praktik klinis.

Kellum, J. A., & Prowle, J. R. (2018). "Acute Kidney Injury: Epidemiology, Mechanisms, and Outcomes". Nature Reviews Nephrology, 14(2), 82-94. Menyajikan pembahasan mengenai epidemiologi, mekanisme, serta pendekatan manajemen untuk GGA.

Thompson, L., & Williams, S. (2020). "Management of Acute Kidney Injury in the ICU: A Review". Critical Care Medicine, 48(1), 12-21. Artikel ini membahas manajemen GGA

di unit perawatan intensif (ICU) dengan fokus pada pengelolaan cairan, elektrolit, dan indikasi dialisis.

Mitsides, N., & Sharma, S. (2018). "Management of Acute Kidney Injury: A Review of Recent Advances". American Journal of Kidney Diseases, 71(5), 594-603. Menyediakan gambaran tentang terapi terbaru dan penanganan GGA berdasarkan bukti klinis terbaru.

Al-Wakeel, J., & Badr, M. (2019). "Approach to Diagnosis and Management of Acute Kidney Injury in Developing Countries". Nephrology Dialysis Transplantation, 34(6), 1035-1042. Artikel ini menawarkan panduan manajemen GGA dengan mempertimbangkan sumber daya terbatas yang ada di negara berkembang.

National Kidney Foundation (NKF). (2020). K/DOQI Clinical Practice Guidelines for Acute Kidney Injury. American Journal of Kidney Diseases.

Panduan ini memberikan rekomendasi tentang diagnosis, pengelolaan, dan terapi pada pasien dengan GGA, dengan referensi berbasis bukti.

Kidney Disease: Improving Global Outcomes (KDIGO). (2012). Clinical Practice Guideline for Acute Kidney Injury. Kidney International Supplements, 2(1), 1-138.

Panduan ini merinci pedoman internasional dalam penanganan GGA, termasuk pembaruan terbaru terkait definisi dan pengobatan GGA.

Medscape. (2022). "Acute Kidney Injury: Diagnosis and Treatment". https://www.medscape.com

Medscape memberikan artikel ilmiah dan video yang membahas pendekatan diagnostik dan pengobatan GGA.

American College of Physicians (ACP). (2019). Management of Acute Kidney Injury in Critical Care Settings. Annals of Internal Medicine, 170(3), 182-189.

Memberikan pedoman tentang pengelolaan GGA pada pasien kritis, dengan pendekatan yang sangat terperinci tentang terapi suportif.

Murray, P. T., & Mehta, R. L. (2015). "Acute Kidney Injury in the Intensive Care Unit: Management and Therapeutic Approaches". Seminars in Nephrology, 35(4), 300-312.

Menyajikan pendekatan multidisiplin dalam manajemen GGA di unit perawatan intensif dengan fokus pada pengobatan medis dan terapi pendukung.

Zhou, F., & Wang, Y. (2020). "Management of Acute Kidney Injury in Emergency Medicine". Chinese Journal of Emergency Medicine, 29(6), 543-551.

Artikel ini menawarkan panduan praktis tentang penanganan GGA dalam konteks kedaruratan medis.

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Published

2023-10-31

How to Cite

Astuti Sigalingging, Y. E. W. K. (2023). Challenges And Opportunities Of Community Health Center In Initial Emergency Management Of Patients With Acute Kidney Failure. JURNAL KEBIDANAN KESTRA (JKK), 6(1), 166–171. https://doi.org/10.35451/jkk.v6i1.2546