Terapi Cairan Parenteral-Oral Dan Monitoring Intake-Output Untuk Mengatasi Kegawatan Circulation: Dehidrasi Pada Anak Dengan Gastroenteritis Akut Di IGD RSUD Budhi Asih

Zahrani, Ayu (2026) Terapi Cairan Parenteral-Oral Dan Monitoring Intake-Output Untuk Mengatasi Kegawatan Circulation: Dehidrasi Pada Anak Dengan Gastroenteritis Akut Di IGD RSUD Budhi Asih. D3 thesis, Universitas Kristen Indonesia.

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Abstract

Latar Belakang: Gastroenteritis akut merupakan peradangan pada lambung dan usus yang ditandai dengan diare, mual, dan muntah yang dapat menyebabkan kehilangan cairan dan elektrolit secara terus menerus hingga menimbulkan dehidrasi dan hipovolemia. Kondisi ini menjadi salah satu kegawatdaruratan pada anak yang memerlukan penanganan cepat dan tepat di Instalasi Gawat Darurat untuk mencegah komplikasi dan menurunkan risiko kematian. Penatalaksanaan utama dilakukan melalui pemberian terapi cairan serta monitoring keseimbangan cairan pasien. Tujuan: Menggambarkan implementasi pemberian terapi parenteral-oral dan monitoring intake output pada pasien gastroenteritis akut dengan dehidrasi di IGD RSUD Budhi Asih. Metode: Studi kasus ini menggunakan desain studi kasus deskriptif pada dua pasien anak dengan gastroenteritis akut dan dehidrasi. Pengumpulan data dilakukan melalui pengkajian keperawatan, observasi status hidrasi, pemeriksaan tanda vital, serta monitoring intake output selama pemberian terapi cairan. Hasil: Setelah dilakukan pemberian terapi cairan parenteral-oral dan monitoring intake output, kedua pasien menunjukkan penurunan frekuensi diare dan muntah, membran mukosa lembab, turgor kulit membaik, keseimbangan cairan tercapai, dan kondisi hemodinamik stabil. Kesimpulan: Pemberian terapi parenteral-oral dan monitoring intake output efektif dalam membantu mengatasi dehidrasi dan mempertahankan keseimbangan cairan pada pasien gastroenteritis akut. Kata kunci: gastroenteritis akut, dehidrasi, terapi cairan, intake output. / Background: Acute gastroenteritis is an inflammation of the stomach and intestines characterized by diarrhea, nausea, and vomiting, which can lead to continuous fluid and electrolyte loss resulting in dehydration and hypovolemia. This condition is one of the emergencies in children that requires rapid and appropriate management in the Emergency Department to prevent complications and reduce the risk of death. The main management is carried out through the administration of fluid therapy and monitoring the patient's fluid balance. Objective: To describe the implementation of parenteral-oral therapy and intake-output monitoring in patients with acute gastroenteritis with dehydration in the Emergency Department of Budhi Asih General Hospital. Method: This case study used a descriptive case study design on two pediatric patients with acute gastroenteritis and dehydration. Data collection was conducted through nursing assessment, observation of hydration status, examination of vital signs, and monitoring of intake and output during fluid therapy administration. Results: After administering parenteral-oral fluid therapy and monitoring intake and output, both patients showed a decrease in the frequency of diarrhea and vomiting, moist mucous membranes, improved skin turgor, achieved fluid balance, and stable hemodynamic condition. Conclusion: The administration of parenteral-oral therapy and monitoring of intake and output is effective in helping to overcome dehydration and maintain fluid balance in patients with acute gastroenteritis. Keywords: acute gastroenteritis, dehydration, fluid therapy, intake output

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