Asuhan Keperawatan Gawat Darurat Pasien Hipertensi dengan Tindakan Primary Secondary Survey di IGD RS Dik Pusdikkes Jakarta

Seltira, Seltira (2021) Asuhan Keperawatan Gawat Darurat Pasien Hipertensi dengan Tindakan Primary Secondary Survey di IGD RS Dik Pusdikkes Jakarta. D3 thesis, Universitas Kristen Indonesia.

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Abstract

Kegawatdaruratan pada hipertensi dapat menyerang pasien yang tidak terkontrol dalam jangka waktu yang sangat lama, dan memungkinkan memiliki gejala yang berbahaya yaitu mengalami peningkatan tekanan darah secara sistemik yang sangat cepat serta adaptasi vaskular akan menyebabkan kerusakan pada organ. Komplikasi yang sering terjadi adalah cardiovascular, stroke, serta retinopati. Masalah keperawatan pada pasien hipertensi yang ditemukan berupa gangguan sistem circulation, yakni nyeri akut dan defisit pengetahuan mengenai diet hipertensi yang dilakukan pada tindakan secondary survey. Tujuan: mampu memberikan asuhan keperawatan gawat darurat dengan tindakan primary dan secondary survey, Metode: Tindakan keperawatan pada nyeri akut yaitu dilakukan dengan teknik relaksasi nafas dalam, tindakan kolaborasi pemberian terapi farmakologi untuk mengurangi nyeri yang dialami oleh pasien, memberikan edukasi diet hipertensi kepada pasien untuk memenuhi standar pengetahuan pasien dalam mengetahui diet hipertensi. Hasil: masalah keperawatan nyeri akut teratasi dengan teknik relaksasi nafas dalam, tindakan kolaborasi dalam pemberian farmakologi dan defisit pengetahuan pasien teratasi. Kesimpulan: Setelah diberikan tindakan mandiri dan tindakan kolaborasi pemberian terapi farmakologi ditemukan perbedaan hasil yang signifikan skala nyeri pada pasien 1 dan 2. Dalam memberikan asuhan keperawatan atau caregiver, caring sangatlah penting, agar tercapainya tindakan keperawatan dan terciptanya hubungan saling percaya antara pasien dan perawat / An emergency in hypertension can strike patients who are not controlled for a very long time, and it is possible to have dangerous symptoms, namely experiencing a very rapid increase in systemic blood pressure and vascular adaptation that will cause organ damage. Complications that often occur are cardiovascular, stroke, and retinopathy. Nursing problems in hypertensive patients were found to be in the form of circulation system disorders, namely acute pain and knowledge deficits about the hypertension diet which were carried out in the secondary survey. Objective: able to provide emergency nursing care with primary and secondary survey actions. Methods: Nursing actions on acute pain are carried out with deep breathing relaxation techniques, collaborative actions in providing pharmacological therapy to reduce pain experienced by patients, providing hypertension diet education to patients to meet patient knowledge standards in knowing hypertension diet. Results: the acute pain nursing problem was resolved with deep breathing relaxation techniques, collaborative action in providing pharmacology and the patient's knowledge deficit was resolved. Conclusion: After being given independent action and collaborative action in providing pharmacological therapy, it was found that there were significant differences in the results of pain scales in patients 1st and 2nd. In providing nursing care or caregiver, caring is very important, in order to achieve nursing actions and create a trusting relationship between patients and nurses

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