Optimalisasi Oksigen dan Restriksi Cairan Mengatasi Kegawatan Primary Survey Penurunan Curah Jantung pada Pasien Gagal Jantung Kongestif di IGD RSUD Budhi Asih Jakarta

Yolanda, Elycia (2023) Optimalisasi Oksigen dan Restriksi Cairan Mengatasi Kegawatan Primary Survey Penurunan Curah Jantung pada Pasien Gagal Jantung Kongestif di IGD RSUD Budhi Asih Jakarta. D3 thesis, Universitas Kristen Indonesia.

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Abstract

Kegawatdaruratan pada Gagal Jantung Kongestif merupakan suatu kegagalan dalam memompa darah sehingga jantung tidak dapat bekerja secara normal yang menyebabkan terjadinya penumpukan cairan dan sesak napas disertai oedema sehingga pola napas tidak efektif dan penurunan curah jantung. Tujuan : Melakukan proses asuhan keperawatan gawatdarurat khususnya tindakan primary survey breathing circulation pada pasien Gagal Jantung Kongestif dengan optimalisasi oksigen sehingga sesak napas berkurang, saturasi oksigen meningkat ≥95%, penggunaan otot bantu napas menurun, frekuensi dan pola napas membaik (16-20x/menit) dan restriksi cairan sehingga oedema berkurang. Metode : Metode studi kasus pendekatan deskriptif dengan sampel dua pasien menggunakan pendekatan proses asuhan keperawatan, tindakan kolaberasi pemberian oksigen nasal canul 3 liter/menit dan furosemide 10 mg pada pasien 1, pasien 2 non-rebreathing mask 10 liter/menit. Tindakan mandiri keperawatan dengan memonitor pola napas, frekuensi napas, saturasi oksigen, tekanan darah, EKG dan pemberian posisi semi fowler. Hasil : sesak napas pada kedua pasien berkurang, frekunesi napas membaik dan saturasi oksigen meningkat, pasien 1 frekuensi pernapasan 22x/menit, saturasi oksigen 98% dan balance cairan -10.000 cc , pasien 2 frekuensi napas 23x/menit dan saturasi oksigen 97%, penggunaan otot bantu napas berkurang. Kesimpulan : Pentingnya peran perawat di instalisasi gawat darurat dalam memberikan pelayanan yang cepat, sigap, dan tanggap untuk mengatasi kegawatan primary survey breathing circulation. Dalam mengimplementasikan asuhan keperawatan, diharapkan perawat perlu bersikap caring untuk mengatasi kecemasan yang dialami pasien dan keluarga. Kata kunci : Kegawatdaruratan, Breathing, Circulation, Gagal Jnatung Kongestif, Caring. / Emergency in Congestive Heart Failure is a failure in pumping blood so that the heart cannot work normally which causes accumulation of fluid and shortness of breath accompanied by edema resulting in ineffective breathing patterns and decreased cardiac output. Objective : Carry out the process of emergency nursing care, especially the primary action of breathing circulation survey in congestive heart failure patients by optimizing oxygen so that shortness of breath is reduced, oxygen saturation increases ≥95%, use of accessory muscles decreases, breathing frequency and pattern improve (16-20x/minute ) and fluid restriction so that edema is reduced. Method: Case study method with a descriptive approach with a sample of two patients using the nursing care process approach, collaborative action of administering 3 liters/minute of nasal cannula oxygen and 10 mg of furosemide in patient 1, patient 2 non-rebreathing mask 10 liters/minute. Nursing independent actions by monitoring breathing patterns, respiratory frequency, oxygen saturation, blood pressure, ECG and semi-Fowler's position. Results: shortness of breath in both patients decreased, respiratory rate improved and oxygen saturation increased, patient 1 respiratory rate 22x/minute, oxygen saturation 98% and fluid balance - 10,000 cc, patient 2 respiratory rate 23x/minute and oxygen saturation 97%, use reduced respiratory muscles. Conclusion: The important role of nurses in emergency installations is in providing fast, alert and responsive services to deal with primary respiratory circulation survey emergencies. In implementing nursing care, it is expected that nurses need to be caring to overcome the anxiety experienced by patients and families. Keywords: Emergency, Breathing, Circulation, Congestive Heart Failure, Caring

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