Pemenuhan Oksigenasi dan Posisi Head Up dalam Mengoptimalkan Kegawatan Primary Survey Disability Perfusi Serebral Tidak Efektif pada Pasien Stroke di IGD RSUD Budhi Asih Jakarta

Gultom, Glory Feronica (2023) Pemenuhan Oksigenasi dan Posisi Head Up dalam Mengoptimalkan Kegawatan Primary Survey Disability Perfusi Serebral Tidak Efektif pada Pasien Stroke di IGD RSUD Budhi Asih Jakarta. D3 thesis, Universitas Kristen Indonesia.

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Abstract

Kegawatdaruratan pada stroke merupakan penyakit yang menyerang fungsi otak berupa gangguan funsi saraf lokal ataupun global, yang muncul secara tiba-tiba, progresif, dan cepat. Tujuan : Melaksanakan proses asuhan keperawatan gawatdarurat terkhususnya tindakan pemenuhan oksigenasi dan posisi head up dalam mengoptimalkan kegawatan primary survey disability pada pasien stroke sehingga tingkat kesadaran meningkat, tekanan intrakranial menurun, nilai rata-rata tekanan darah menurun dan kesadaran membaik. Metode : Metode studi kasus pendekatan deskriptif dengan sampel dua pasien menggunakan proses asuhan keperawatan, tindakan mandiri keperawatan melakukan tindakan observasi dengan mengidentifikasi peningkatan TIK, memonitor tanda dan gejala peningkatan TIK, tindakan kolaborasi dengan pemberian terapi farmakologis yaitu obat citicoline 125mg/ml (inj), Nicardipine Hydrochloride 1 mg/ml (inj), Candesartan 16mg, dan Penulis juga melakukan tindakan pemasangan infus dan juga pemasangan dower catether. Hasil : kesadaran composmentis, keluhan nyeri kepala yang menjalar sampai leher berkurang . Kesimpulan : Pentingnya peran perawat di instalasi gawat darurat dalam memberikan pelayanan yang cepat, sigap, untuk mengatasi masalah primary survey khususnya disability dengan tindakan pemenuhan oksigenasi dan posisi head up. Kata kunci : Kegawatdaruratan, Disability, Primary survey, Stroke. / Emergency stroke is a disease that attacks brain function in the form of disturbance of local or global nerve function, which appears suddenly, progressively, and quickly. Objective: Carry out the emergency nursing care process, especially the action of fulfilling oxygenation and head up position in optimizing the primary disability survey in stroke patients so that the level of consciousness increases, intracranial pressure decreases, the average value of blood pressure decreases and awareness improves. Methods: case study method with a descriptive approach with a sample of two patients using the nursing care process, independent nursing actions to observe actions by identifying ICP increases, collaborative actions by administering pharmacological therapy namely citicoline 125mg/ml (inj), Nicardipine Hydrochloride 1mg/ml (inj ), Candesartan 16mg, and performed an infusion procedure and also installed a Dower catheter. Results: composmentis awareness, complaints of headaches that radiate to the neck are reduced. Conclusion: The importance of the role of nurses in the Emergency Room (ER) in providing fast, agile, and appropriate services to address primary survey problems, especially disability by fulfilling oxygenation and head-up positions. Keywords: Emergency, Disability, Primary survey, Stroke

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