D.0050
Retensi Urin
Kategori : Fisiologis
Subkategori : Eliminasi
Definisi
Pengosongan kandung kemih yang tidak lengkap.
Penyebab
1. Peningkatan tekanan uretra
2. Kerusakan arkus refleks
3. Blok spingter
4. Disfungsi neurologis (mis. trauma, penyakit saraf)
5. Efek agen farmakologis (mis. atropine, belladonna, psikotropik, antihistamin, opiate)
Gejala dan Tanda Mayor
Subjektif
1. Sensasi penuh pada kandung kemih
Objektif
1. Disuria/anuria
2. Distensi kandung kemih
Gejala dan Tanda Minor
Subjektif
1. Dribbling
Objektif
1. Inkontinensia berlebih
2. Residu urin 150 ml atau lebih
Kondisi Klinis Terkait
1. Benigna prostat hiperplasia
2. Pembengkakan perineal
3. Cedera medula spinalis
4. Rektokel
5. Tumor di saluran kemih
Referensi
Ackley, B. J., Ladwig, G. B., & Makic. M. B. F. (2017), Nursing Diagnosis Handbook, An Evidence-Based Guide to Planning Care. 11" Ed. St. Louis: Elsevier,Carperito-Moyet, L. J. (2013). Nursing Diagnosis Application to Clinical Practice, 14 Ed. Philadelphia: Lippincott Williams & Wilkins.Doenges, M. E., Moorhouse, M. F., & Murr, A. C. (2013) Nursing Diagnosis Manual Planning, Individualizing and Documenting Client Care. 4 Ed. Philadelphia: F. A. Davis Company,
Herdman,T. H., & Kamitsuru, S. (2014). Nursing Diagnosis Definitions Classification 2016-2017, 10" Ed. Oxford: Wiley Blackwell.and classification 2015-2017. 10th ed. Oxford:wiley blackwell. McKinnon, K., et al. (2011). Predictors of acute urinary retention after transurethral resection of the prostate: a retrospective chart audit. Urologic 31(4), 207-213. Newfield, S. A., Hinz, M. D., Tiley, D. S., Sridaromont, K. L., Maramba, P. J.Nursing.(2012)Cox's Clinical Applications of Nursing Diagnosis Adult, Child, Women's Mental Health, Gerontic, and Home Health Considerations. 6 Ed Philadelphia: F.A. Davis Company.Verhamme,K. M., et al. (2008). Drug-induced urinary retention: incidence, management, and prevention. Drug Safety: An International Journal of Medical Toxicology and Drug Experience, 31(5), 373-388.
