Intervensi Keperawatan Batuk Efektif dan Inhalasi dalam Mengatasi Kegawatan Primary Survey Airway Tidak Efektif pada Pasien Tuberkulosis Paru di IGD RSUD Budhi Asih Jakarta

Saragih, Oshin Oktaviani (2023) Intervensi Keperawatan Batuk Efektif dan Inhalasi dalam Mengatasi Kegawatan Primary Survey Airway Tidak Efektif pada Pasien Tuberkulosis Paru di IGD RSUD Budhi Asih Jakarta. D3 thesis, Universitas Kristen Indonesia.

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Abstract

Kegawatdaruratan pasien Tuberkulosis Paru ialah kondisi adanya penumpukan benda asing di saluran pernapasan oleh virus mycobacterium yang berakibat sulit bernapas karena berkurangnya persediaan oksigen dalam darah. Tujuan : Menerapkan proses asuhan keperawatan gawat darurat khususnya tindakan primary survey pada airway tidak clear dengan intervensi keperawatan batuk efektif dan inhalasi sehingga suara napas ronchi clear, jalan napas tetap paten, obstruksi jalan napas clear, frekuensi pernapasan membaik (16-20x/menit), saturasi oksigen ≥ 95%. Metode : Hasil studi kasus memakai metode pendekatan asuhan keperawatan gawat darurat terhadap dua pasien dengan diagnosa yang sama yaitu tuberkulosis paru, dengan pemberian tindakan kolaborasi dan tindakan mandiri. Hasil : pasien 1 dan pasien 2 dapat melakukan batuk efektif secara mandiri untuk mengatasi sekret yang tertahan, produksi sputum pasien 1 menurun, batuk darah pasien 2 clear, tidak ada suara napas tambahan, frekuensi napas membaik dan pola napas membaik serta pasien tampak lebih nyaman dan rileks. Kesimpulan : Diharapkan semua tim memiliki sikap budaya kerja caring terhadap pasien dan keluarga. Perawat perlu memiliki kompetensi dalam memberikan penanganan tindakan cepat, sigap dan tanggap dalam mengatasi kegawatan pada pasien tuberkulosis paru. Kata kunci : Kegawatdaruratan, Airway, Breathing, Tuberkulosis paru, Caring. / The emergency situation for a patient with pulmonary tuberculosis is a condition where there is a buildup of foreign bodies in the respiratory tract by the mycobacterium virus which results in difficulty breathing due to reduced oxygen supply in the blood. Objective : Applying the emergency nursing care process, especially the primary survey action on the airway is not clear with nursing interventions effective cough and inhalation so that the sound of rhonchi breath is clear, the airway remains patent, airway obstruction is clear, respiratory rate improves (16- 20x/minute), oxygen saturation ≥ 95%. Methods : The results of the case study used the emergency nursing care approach to two patients with the same diagnosis, namely pulmonary tuberculosis, by providing collaborative and independent actions. Results : patient 1 and patient 2 can cough effectively independently to deal with retained secretions, patient 1's sputum production decreases, patient 2's coughing up blood is clear, there are no additional breath sounds, respiratory frequency improves and breathing patterns improve and the patient looks more comfortable and relax. Conclusion : It is expected that all teams have a caring work culture attitude towards patients and families. Nurses need to have competence in providing fast, swift and responsive handling of emergencies in pulmonary tuberculosis patients. Keywords : Emergency, Airway, Breathing, Pulmonary tuberculosis, Caring

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