Pemantauan Sirkulasi Perifer, Tekanan Darah dan Pemberian Terapi Cairan Untuk Mengatasi Kegawatan Circulation: Preeklamsia Pada Ibu Hamil Di IGD RSUD Budhi Asih

Yana, Kezia Putri (2026) Pemantauan Sirkulasi Perifer, Tekanan Darah dan Pemberian Terapi Cairan Untuk Mengatasi Kegawatan Circulation: Preeklamsia Pada Ibu Hamil Di IGD RSUD Budhi Asih. D3 thesis, Universitas Kristen Indonesia.

	Text (Hal_Judul_Daftar_Isi_Daftar_Tabel_Daftar_Gambar_Daftar_Singkatan_Daftar_Lampiran_Abstrak) HalJudulDaftarIsiDaftarTabelDaftarGambarDaftarSingkatanDaftarLampiranAbstrak.pdf Available under License Creative Commons Attribution Non-commercial Share Alike. Download (1MB)
	Text (BAB_I) BABI.pdf Available under License Creative Commons Attribution Non-commercial Share Alike. Download (338kB)
	Text (BAB_II) BABII.pdf Restricted to Registered users only Available under License Creative Commons Attribution Non-commercial Share Alike. Download (602kB)
	Text (BAB_III) BABIII.pdf Restricted to Registered users only Available under License Creative Commons Attribution Non-commercial Share Alike. Download (394kB)
	Text (BAB_IV) BABIV.pdf Restricted to Registered users only Available under License Creative Commons Attribution Non-commercial Share Alike. Download (677kB)
	Text (BAB_V) BABV.pdf Restricted to Registered users only Available under License Creative Commons Attribution Non-commercial Share Alike. Download (327kB)
	Text (Daftar_Pustaka) DaftarPustaka.pdf Available under License Creative Commons Attribution Non-commercial Share Alike. Download (338kB)
	Text (Lampiran) Lampiran.pdf Restricted to Repository staff only Available under License Creative Commons Attribution Non-commercial Share Alike. Download (1MB)

Abstract

Latar belakang: Preeklamsia adalah kehamilan disertai peningkatan tekanan darah dan gangguan perfusi perifer akibat vasospasme sistemik juga peningkatan permeabilitas kapiler. Menimbulkan edema ekstremitas, gangguan hemodinamik, serta risiko komplikasi eklamsia. Preeklamsia dalam kegawatdaruratan obstetri sekitar 5–10% dari 140 juta kehamilan per tahun secara global, 4–10% di ASEAN, 3–10% atau 135.000–480.000 per tahun di Indonesia, dan 33% angka kematian ibu juga janin. Masalah yang sering ditemukan adalah peningkatan tekanan darah, edema ekstremitas, dan kepala pusing, akibat perfusi perifer tidak efektif juga peningkatan permeabilitas kapiler. Penelitian sebelumnya menyatakan pemantuan sirkulasi perifer, tekanan darah dan pemberian terapi cairan efektif untuk menjaga kestabilan status hemodinamik dan mencegah komplikasi eklamsia. Tujuan: Tujuan dari studi kasus yaitu menggambarkan dan mengevaluasi asuhan keperawatan gawat darurat pada pasien preeklamsia dengan masalah perfusi perifer tidak efektif di RSUD Budhi Asih. Metode: Desain penelitian menggunakan studi kasus deskriptif pada dua pasien preeklamsia di ruang VK RSUD Budhi Asih. Data didapatkan melalui observasi sirkulasi perifer, tekanan darah, dan pemberian terapi cairan untuk mengatasi kegawatan pada circulation. Hasil: Kedua pasien mengalami penurunan tekanan darah dengan status hemodinamik stabil. Kesimpulan: Pemantauan sirkulasi perifer, tekanan darah, dan pemberian terapi cairan dapat mempertahankan kestabilan kondisi ibu dan janin. Kata kunci: Pemantauan sirkulasi perifer, tekanan darah, dan pemberian terapi cairan, preeklamsia. / Background: Preeclampsia is a pregnancy-related disorder characterized by elevated blood pressure and impaired peripheral perfusion resulting from systemic vasospasm and increased capillary permeability. This condition may lead to extremity edema, hemodynamic instability, and an increased risk of eclampsia-related complications. Globally, preeclampsia affects approximately 5–10% of the 140 million pregnancies occurring annually, with a prevalence of 4–10% in ASEAN countries and 3–10%, or approximately 135,000–480,000 cases per year, in Indonesia, contributing to 33% of maternal and fetal mortality. Common clinical manifestations include hypertension, extremity edema, and dizziness associated with ineffective peripheral perfusion and increased capillary permeability. Previous studies have demonstrated that peripheral circulation monitoring, blood pressure monitoring, and fluid therapy administration are effective in maintaining hemodynamic stability and preventing eclampsia-related complications. Objective: This case study aimed to describe and evaluate emergency nursing care for patients with preeclampsia experiencing ineffective peripheral perfusion at Budhi Asih Regional General Hospital. Methods: A descriptive case study design was employed involving two patients with preeclampsia in the delivery room (VK room) of Budhi Asih Regional General Hospital. Data were collected through peripheral circulation assessment, blood pressure monitoring, and the administration of fluid therapy to manage circulatory emergencies. Results: Both patients showed a reduction in blood pressure and achieved stable hemodynamic status. Conclusion: Peripheral circulation monitoring, blood pressure monitoring, and fluid therapy administration contributed to maintaining maternal and fetal stability. Keywords: peripheral circulation monitoring, blood pressure monitoring, fluid therapy administration, preeclampsia.

Actions (login required)

View Item