Case report on a patient with chronic kidney disease with nausea
Keywords:
CKD, hemodialysis, holistic intervention nausea, nursingAbstract
Chronic kidney disease (CKD) is a global health problem whose prevalence continues to increase annually. One common symptom in CKD patients, particularly those undergoing regular hemodialysis, is nausea. This symptom can significantly reduce a patient's quality of life and impact nutritional status and fluid balance. Therefore,
appropriate management of nausea is a crucial part of nursing practice. The purpose of this case report is to
evaluate the effectiveness of nursing care for CKD patients with the main complaint of nausea after undergoing hemodialysis. This study used a descriptive case study design on a 56-year-old male patient who presented with severe nausea after hemodialysis. Data were collected through interviews, observations, and physical and laboratory examinations. Nursing interventions provided included pharmacological and non-pharmacological
approaches. After a three-day intervention involving semi-Fowler's positioning, dietary education, and
collaborative antiemetic administration, a comprehensive, evidence-based nursing approach has been shown to be
effective in reducing nausea in CKD patients. The nurse's active role in patient assessment, intervention, and education is crucial to improving patient comfort and quality of life.
References
Alfikrie, F., Rusdian Hidayat, U., Akbar, A., Amaludin, M., & Hatmalyakin, D. (2022). The
Relationship Between Hemodialysis Duration and the Incidence of Hypotension in Patients
with Chronic Kidney Failure. Khatulistiwa Nursing Journal (KNJ), 4 (1), 19–24.
https://doi.org/10.53399/knj.v4i0.paperID
Georgianos, P. I., & Agarwal, R. (2023). Hypertension in chronic kidney disease - Treatment standards
Nephrology Dialysis Transplantation, 38 (12), 2694–2703.
https://doi.org/10.1093/ndt/gfad118
Henson, L.A., Maddocks, M., Evans, C., Davidson, M., Hicks, S., & Higginson, I.J. (2020). Palliative
care and the management of common distressing symptoms in advanced cancer: Pain,
breathlessness, nausea and vomiting, and fatigue. Journal of Clinical Oncology, 38 (9), 905–
https://doi.org/10.1200/JCO.19.00470
Hijazi, E.M., Edwan, H., Al-Zoubi, N., & Radaideh, H. (2018). Incidence of nausea and vomiting after
fast-track anesthesia for heart surgery. Brazilian Journal of Cardiovascular Surgery, 33 (4),
–375. https://doi.org/10.21470/1678-9741-2018-0040
Hnynn Si, P. E., Hernández-Alava, M., Dunn, L., Wilkie, M., & Fotheringham, J. (2023). The trajectory
of a range of commonly captured symptoms with standard care in people with kidney failure
receiving hemodialysis: considerations for clinical trial design. BMC Nephrology, 24 (1), 1–
https://doi.org/10.1186/s12882-023-03394-w
Hustrini, N.M., Susalit, E., & Rotmans, J.I. (2022). Prevalence and Risk Factors For Chronic Kidney
Disease In Indonesia: An Analysis Of The National Basic Health Survey 2018. Journal of
Global Health, 12, 1–10. https://doi.org/10.7189/jogh.12.04071
Jannah, F., Dewi, TK, & Ludiana. (2024). Application of Peppermint Aromatherapy Inhalation for
Nausea and Vomiting in Chronic Kidney Failure Patients in Internal Medicine Ward B,
Ahmad Yani Metro Regional Hospital. Young Scholars Journal, 4 (3), 376–382.
Kovesdy, C. P. (2022). Epidemiology of chronic kidney disease: an update 2022. Kidney International
Supplements, 12 (1), 7–11. https://doi.org/10.1016/j.kisu.2021.11.003
Lestari, RA, Ariyani, H., Solihatin, Y., & Muksin, A. (2025). The Relationship Between Length of
Hemodialysis Treatment and Quality of Life of CKD Patients in the Hemodialysis Ward of
Dr. Soekardjo Regional Hospital, Tasikmalaya City. Andalas Health, 1 (1), 19–27.
https://doi.org/10.35568/senal.v2i1.5221
Manalu, NV (2020). Family Support for the Quality of Life of Chronic Kidney Failure Patients
Undergoing Therapy at Adventist Hospital Bandar Lampung. States, Epidemiology of Kidney
Disease in the United.
Metzger, M., Abdel-Rahman, E.M., Boykin, H., & Song, M.K. (2021). A Narrative Review of
Management Strategies for Common Symptoms in Advanced CKD. Kidney International
Reports, 6 (4), 894–904. https://doi.org/10.1016/j.ekir.2021.01.038
Muttaqin, A., & Sari, K. (2020). Nursing Care for Urinary System Disorders. Jakarta: Salemba Medika.
Rafi Fathurrohman, M., & Suparti, S. (2020). Analysis on factors affecting nausea and vomiting severity
suffered by patients in the early phase of hemodialysis therapy. Proceedings Series on Health
& Medical Sciences, 1, 30–34. https://doi.org/10.30595/pshms.v1i.29
Rizky Sulymbona, D., Setyawati, R., & Khasanah, F. (2020). The Relationship Between Family Support
and Motivation with Quality of Life in Patients Undergoing Hemodialysis Therapy at RSI
Sultan Agung Semarang. Puinovakesmas, 1 (1), 43–51. https://doi.org/10.29238/puinova.v1i1.439
Sari, SP, AZ, R., & Maulani. (2022). The Relationship Between Hemodialysis Duration and Quality of
Life in Chronic Kidney Disease Patients in the Hemodialysis Ward of Bhayangkara Hospital, Jambi City. Indonesian Nursing Scientific Journal, 3 (2), 54–62.
https://doi.org/10.22437/jini.v3i2.20204
Suara, E., & Retnaningsih, D. (2024). Characteristics of Risk Factors in Chronic Kidney Disease (CKD)
Patients Undergoing Hemodialysis. Journal of Nursing Care Management, 8 (2), 59–63.
https://doi.org/10.33655/mak.v8i2.194
Syahputra, E., Laoli, E. Kristin, Alyah, J., HSB, EYB, Estra, EY, & Nababan, T. (2022). Family Support
Is Associated With Quality of Life in Chronic Kidney Failure Patients Undergoing
Hemodialysis Therapy. Journal of Professional Nursing Research, 4, 793–800.
Triyono, AH, Suandika, M., Wibowo, TH, & Dewi, FK (2023). Overview of Intra-Hemodialysis
Complications in Chronic Kidney Failure Patients Undergoing Hemodialysis at
Wijayakusuma Hospital Class III 04.06.01 Purwokerto. Journal of Nursing & Health (JNH), 8 (1), 27–39.