Asuhan Keperawatan Gawat Darurat pada Pasien Covid-19 dengan Tindakan Primary dan Secondary Survey di IGD RSU UKI Jakarta

Susanti, Aprilia (2021) Asuhan Keperawatan Gawat Darurat pada Pasien Covid-19 dengan Tindakan Primary dan Secondary Survey di IGD RSU UKI Jakarta. D3 thesis, Universitas Kristen Indonesia.

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Abstract

"Kegawatan pada Covid-19 merupakan penyakit infeksi saluran pernafasan yang disebabkan oleh virus corona jenis baru (SARS-CoV-2) sehingga dapat menyebabkan terjadinya penurunan kadar oksigen pada pasien dengan saturasi <95% Tujuan : Melaksanakan asuhan keperawatan gawat darurat pada pasien covid-19 dengan tindakan Primary Survey dan Secondary Survey agar dapat meningkatkan saturasi Oksigen >95%, mengurangi sesak nafas, irama nafas regular dengan frekuensi 20x/menit, gerakan dada simetris serta tidak terdapat retraksi otot dada Metode : Metode hasil studi kasus menggunakan deskriptif dengan proses pendekatan asuhan keperawatan, tindakan mandiri dengan memonitor frekuensi nafas dan saturasi oksigen serta pemberian posisi semi fowler, tindakan kolaborasi dengan pemberian oksigen konsentrasi tinggi Non Rebreathing Mask 10 liter/menit. Hasil : Sesak pada pasien sudah berkurang dengan saturasi oksigen meningkat 99%, gerakan dada simetris, irama nafas irregular 24x/menit masih teratasi sebagian dan pasien tampak tidak gelisah setelah diberikan oksigen dengan konsentrasi tinggi. Kesimpulan :Perlu kecepatan dan sikap caring terhadap pasien untuk mengatasi kecemasan serta sikap empati terlebih menjadi pendengar yang baik dengan selalu memberikan support agar pasien selalu termotivasi untuk sembuh serta pemberian tindakan mandiri serta kolaborasi tenaga kesehatan yang tepat agar penanganan Covid-19 dapat teratasi. Kata Kunci : Covid-19, Breathing, Oksigen, Caring, Gawat Darurat/Emergency in Covid-19 is a respiratory tract infection caused by a new type of corona virus (SARS-CoV-2) so that it can cause a decrease in oxygen levels in patients with saturation <95% Objective : To carry out emergency nursing care for19 patients Covid-. 19 with themeasures in Primary Survey and Secondary Survey order to increase oxygen saturation >95%, reduce shortness of breath, regular breathing rhythm with a frequency of 20x/minute, symmetrical chest movements and no chest muscle retraction Methods: The method of case study results uses a descriptive approach with a process approach. nursing care, independent action by monitoring the frequency of breath and oxygen saturation as well as giving the semi-fowler position, collaborative action by giving high concentration oxygen Non Rebreathing Mask 10 liters/minute. Results: The patient's shortness of breath has been reduced with oxygen saturation increasing 99%, chest movement is symmetrical, irregular breathing rhythm 24x/minute is still partially resolved and the patient does not appear restless after being given high concentrations of oxygen. Conclusion:It takes speed and aattitude caring towards patients to overcome anxiety and empathy, especially being a good listener by always providing support so that patients are always motivated to recover and providing independent action and the right collaboration of health workers so that the handling of Covid-19 can be resolved. Keywords: Covid-19, Breathing, Oxygen, Caring, Emergency"

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