Pemberian Terapi Inhalasi dan Oksigen Untuk Mengatasi Kegawatan Airway pada Pasien Asma Bronchial di IGD RS TK.II Moh. Ridwan Meuraksa Jakarta

Sihombing, Ronauli Valentina (2024) Pemberian Terapi Inhalasi dan Oksigen Untuk Mengatasi Kegawatan Airway pada Pasien Asma Bronchial di IGD RS TK.II Moh. Ridwan Meuraksa Jakarta. D3 thesis, Universitas Kristen Indonesia.

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Abstract

Kegawatdaruratan pada Asma Bronchial merupakan kondisi kritis yang dapat menyebabkan hipoksemia dan kematian jika suplai oksigen tidak mencukupi, sehingga membutuhkan penanganan segera. Asuhan keperawatan darurat melalui terapi inhalasi dan oksigen difokuskan untuk memperbaiki jalan napas, mengurangi produksi sputum, mengi, dan dispnea, serta meningkatkan saturasi oksigen hingga >95% dengan pola napas dalam rentang normal (12-20x/menit). Studi kasus deskriptif ini melibatkan dua pasien yang menerima terapi nebulizer dan oksigen melalui nasal kanul 3 liter/menit. Tindakan keperawatan mandiri juga dilakukan, seperti pemantauan frekuensi pernapasan, pemberian posisi semi fowler, teknik batuk efektif, dan terapi dada. Hasil menunjukkan bahwa kedua pasien dapat mengeluarkan sputum dengan konsistensi encer berwarna putih, mengalami penurunan sesak napas, peningkatan saturasi oksigen, perbaikan frekuensi pernapasan, dan pengurangan penggunaan otot bantu napas, serta pasien terlihat lebih rileks. Kesimpulan: Pemberian terapi inhalasi dan oksigen mampu mengatasi kegawatan Airway pada pasien asma bronchial. Kata kunci : Kegawatan, Airway, Asma Bronchial, Inhalasi, Oksigen. / Emergency conditions in Bronchial Asthma are critical situations that can lead to hypoxemia and death if oxygen supply is inadequate, thus requiring immediate intervention. Emergency nursing care through inhalation and oxygen therapy is focused on improving Airway patency, reducing sputum production, wheezing, and dyspnea, as well as increasing oxygen saturation to >95% with a normal respiratory rate range (12-20 breaths/min). This descriptive case study involved two patients receiving nebulizer therapy and oxygen via nasal cannula at 3 liters per minute. Independent nursing actions were also performed, including monitoring respiratory rate, providing a semi-Fowler position, effective coughing techniques, and chest therapy. The results showed that both patients were able to expel thin, white sputum, experienced reduced shortness of breath, increased oxygen saturation, improved respiratory rate, and reduced use of accessory muscles, and the patients appeared more relaxed. Conclusion: The administration of inhalation and oxygen therapy successfully addressed Airway emergencies in patients with bronchial asthma. Keywords: Emergency, Airway, Bronchial Asthma, Inhalation, Oxygen

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