Terapi Oksigen Posisi Head Up dan Monitoring Jalan Napas Untuk Mengatasi Kegawatan Airway Circulation: Risiko Hipoksia Pada Pasien Stroke Iskemik Di IGD RSUD Budhi Asih Jakarta Timur

Titiheru, Carlo Juan (2026) Terapi Oksigen Posisi Head Up dan Monitoring Jalan Napas Untuk Mengatasi Kegawatan Airway Circulation: Risiko Hipoksia Pada Pasien Stroke Iskemik Di IGD RSUD Budhi Asih Jakarta Timur. D3 thesis, Universitas Kristen Indonesia.

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Abstract

Latar belakang: Di dunia, sekitar 10–15 juta orang mengalami stroke setiap tahun dan 60–80% di antaranya merupakan stroke iskemik. Stroke iskemik terjadi akibat penyumbatan pembuluh darah otak karena trombosis atau emboli. Gangguan aliran darah menyebabkan hipoksia jaringan otak yang memperberat kerusakan sel saraf, menurunkan kesadaran, dan mengganggu fungsi tubuh. Penelitian menunjukkan bahwa terapi oksigen, posisi head up, serta monitoring jalan napas dapat meningkatkan oksigenasi dan mendukung pemulihan pasien. Tujuan: Mengimplementasikan terapi oksigen, posisi head up, dan monitoring jalan napas untuk mengatasi risiko hipoksia pada pasien stroke iskemik di IGD RSUD Budhi Asih Jakarta Timur. Metode: Studi kasus deskriptif dilakukan pada dua pasien stroke iskemik. Data dikumpulkan melalui observasi, pemeriksaan fisik, pengukuran saturasi oksigen, dan monitoring jalan napas selama pemberian intervensi keperawatan. Hasil: Setelah intervensi dan pemantauan setiap 30 menit, pasien pertama mengalami peningkatan saturasi oksigen dari 88% menjadi 95% dan frekuensi napas dari 24 kali/menit menjadi 22 kali/menit. Pasien kedua mengalami peningkatan saturasi dari 90% menjadi 97% dan frekuensi napas dari 34 kali/menit menjadi 24 kali/menit. Kesadaran kedua pasien meningkat dari sopor menjadi somnolen. Kesimpulan: Terapi oksigen, posisi head up, dan monitoring jalan napas efektif meningkatkan saturasi oksigen serta mendukung pemulihan pasien stroke iskemik di pelayanan gawat darurat. Kata kunci: Hipoksia, monitoring jalan napas, posisi head up, stroke iskemik, terapi oksigen. / Background: Worldwide, approximately 10–15 million people experience a stroke each year, with 60–80% of cases classified as ischemic stroke. Ischemic stroke occurs due to obstruction of cerebral blood vessels caused by thrombosis or embolism. Impaired cerebral blood flow leads to brain tissue hypoxia, which exacerbates neuronal damage, decreases the level of consciousness, and disrupts bodily functions. Previous studies have shown that oxygen therapy, head-up positioning, and airway monitoring can improve oxygenation and support patient recovery. Objective: To implement oxygen therapy, head-up positioning, and airway monitoring to manage the risk of hypoxia in patients with ischemic stroke in the Emergency Department of RSUD Budhi Asih, East Jakarta. Methods: A descriptive case study was conducted involving two patients diagnosed with ischemic stroke. Data were collected through observation, physical examination, oxygen saturation measurements, and airway monitoring during the implementation of nursing interventions. Results: Following the interventions and monitoring every 30 minutes, the first patient demonstrated an increase in oxygen saturation from 88% to 95% and a decrease in respiratory rate from 24 breaths/minute to 22 breaths/minute. The second patient showed an increase in oxygen saturation from 90% to 97% and a decrease in respiratory rate from 34 breaths/minute to 24 breaths/minute. The level of consciousness of both patients improved from stupor to somnolence. Conclusion: Oxygen therapy, head-up positioning, and airway monitoring were effective in improving oxygen saturation and supporting the recovery of patients with ischemic stroke in the emergency care setting. Keywords: Airway monitoring, head-up position, hypoxia, ischemic stroke, oxygen therapy.

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