Asuhan Keperawatan Anak Demam Berdarah Dengue Yang Mengalami Masalah Defisit Volume Cairan Dengan Tindakan Pemberian Cairan Di RSU UKI Jakarta

Saragih, Rosne Oktania Putri (2021) Asuhan Keperawatan Anak Demam Berdarah Dengue Yang Mengalami Masalah Defisit Volume Cairan Dengan Tindakan Pemberian Cairan Di RSU UKI Jakarta. D3 thesis, Universitas Kristen Indonesia.

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Abstract

Pendahuluan: Demam Berdarah Dengue merupakan penyakit infeksi yang disebabkan oleh virus dengue akut yang menyerang semua kalangan usia termaksud anak, dan jika tidak ditangani dengan baik DBD dapat menurunkan kualitas hidup anak, syok hingga kematian. Tujuan: Memperoleh pengalaman secara nyata dalam melaksanakan Asuhan Keperawatan pada Anak DBD. Metode: Studi kasus deskriptif dengan pendekatan proses keperawatan melalui metode wawancara, observasi, dan pemeriksaan fisik. Studi kasus ini dilakukan pada dua pasien dengan diagnosa medis yang sama. Hasil: Hasil studi kasus menunjukkan diagnosis keperawatan prioritas pada kedua pasien adalah defisit volume cairan berhubungan dengan peningkatan permeabilitas kapiler ditandai dengan penurunan turgor kulit, mata cekung, mukosa bibir kering. Diagnosa tambahan yaitu nyeri, defisit nutrisi dan defisit pengetahuan. Masalah pada pasien pertama teratasi di hari ketiga perawatan, sedangkan masalah pada pasien kedua di hari ketiga perawatan teratasi sebagian, sehingga masih memerlukan implementasi lanjutan. Kesimpulan:. Pemberian cairan pada anak DBD merupakan metode yang efektif untuk mencegah dehidrasi dengan memperhatikan tanda-tanda vital, tanda-tanda dehidrasi, balance cairan meliputi intake dan output, serta nilai-nilai laboratorium. / Introduction: Dengue Hemorrhagic Fever is an infectious disease caused by an acute dengue virus that attacks all ages, including children, and if not treated properly, DHF can reduce children's quality of life, shock to death. Objective: Gain real experience in carrying out Nursing Care for Children with DHF. Method: Descriptive case study with nursing process approach through interview, observation, and physical examination. This case study was conducted on two patients with the same medical diagnosis. Results: The results of the case study showed that the priority nursing diagnosis in both patients was fluid volume deficit associated with increased capillary permeability characterized by decreased skin turgor, sunken eyes, dry lip mucosa. Additional diagnoses were pain, nutritional deficit and knowledge deficit. The problem in the first patient was resolved on the third day of treatment, while the problem in the second patient on the third day of treatment was partially resolved, so it still requires further implementation. Conclusion:. Giving fluids to children with DHF is an effective method to prevent dehydration by paying attention to vital signs, signs of dehydration, fluid balance including intake and output, and laboratory values.

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