Penerapan Pemberian Cairan Dalam Mengatasi Hipovolemia Pada Pasien Dengue Hemoragic Fever Di RS TK II Moh Ridwan Meuraksa Jakarta

Munthe, Marselina Mei Sitina (2022) Penerapan Pemberian Cairan Dalam Mengatasi Hipovolemia Pada Pasien Dengue Hemoragic Fever Di RS TK II Moh Ridwan Meuraksa Jakarta. D3 thesis, Universitas Kristen Indonesia.

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Abstract

Dengue Hemoragic Fever merupakan suatu kondisi medis yang ditemukan di daerah tropis, dan yang disebabkan oleh kontamiasi infeksi dengue pada manusia akibat gigitan nyamuk aedes aegepty dengan gejala hipertermia, mual muntah dan tidak nafsu makan berkurang. Angka kejadian Dengue Hemoragic Fever terdapat 39.487 kasus Di DKI Jakarta. Salah satu intervensi mengatasi Hipovolemia adalan pemberian cairan. Tujuan: Melakukan asuhan keperawatan komprehensif dengan penerapan pemberian cairan dalam mengatasi Hipovolemia pada pasien Dengue Hemoragic Fever yang mengalami masalah Hipovolemia penerapan pemberian cairan Metode: Studi kasus deskriptif dengan pendekatan proses keperawatan melalui metode wawancara, observasi, dan pemeriksaan fisik. Studi kasus ini dilakukan pada dua pasien Dengue Hemoragic Fever di RS TK II Moh Ridwan Meuraksa Jakarta ruangan Lavender pada pasien 1 tanggal 14-16 April 2022 dan pasien 2 tanggal 26-28 Mei 2022 dengan perawatan 3 hari. Hasil: Sebelum intervensi pasien 1 trombosit 63ribu/ul, T= 38.9°C, mukosa bibir kering dan pecah-pecah, wajah pucat dan pasien 2 tromboist 131 ribu/ul, T= 38.7°C, mukosa bibir kering, wajah pucat. Setelah intervensi pemberian cairan, pasien 1 trombisit 76 ribu/ul T=37.6 °C, mukosa bibir kering dan pecah-peca, pasien pucat, pasien 2 trombosit 159ribu/ul T=37.4°C, mukosa bibir lembab. Pasien 1 kurang berhasil dikarenakan pasien tidak kooperatif sehingga malas untuk mengkonsumsi air putih dan sedangkan pasien 2 berhasil karena kooperatif dan banyak mengkonsumsi air putih. Kesimpulan: Pemberian cairan daapat mengatasi Hipovolemia pada pasien Dengue Hemoragic Fever selama 3 hari dan di rekomendasikan untuk perawat dapat menerapkan pemberian cairan dan motivasikan pasien untuk tetap banyak mengkonsumsi banyak minum air putih./ Dengue Hemorrhagic Fever is a medical condition found in the tropics, and is caused by contamination of dengue infection in humans due to the bite of the Aedes aegypti mosquito with symptoms of hyperthermia, nausea, vomiting and loss of appetite. The incidence of Dengue Hemorrhagic Fever is 39,487 cases in DKI Jakarta. One of the interventions to overcome hypovolemia is fluid administration. Objective: To provide comprehensive nursing care with the application of fluid administration in overcoming Hypovolemia in Dengue Hemorrhagic Fever patients who experience hypovolemia problems with the application of fluid administration at TK II Moh Ridwan Meuraksa Hospital, Jakarta. Methods: Descriptive case study with nursing process approach through interview, observation, and physical examination methods. This case study was conducted on two Dengue Hemorrhagic Fever patients at TK II Moh Ridwan Meuraksa Hospital Jakarta Lavender Room in patient 1 on 14-16 April 2022 and patient 2 on 26-28 May 2022 with 3 days of treatment. Results: Prior to intervention, patient 1 had 63 thousand platelets/ul, T= 38.9°C, dry and cracked lip mucosa, pale face and patient 2 thromboist 131 thousand/ul, T= 38.7°C, dry lip mucosa, pale face. After the fluid administration intervention, patient 1 had platelets 76 thousand/ul T=37.6 °C, lip mucosa was dry and cracked, patient was pale, patient 2 had platelets 159 thousand/ul T=37.4°C, lip mucosa was moist. Patient 1 was less successful because the patient was not cooperative so he was lazy to consume water and while patient 2 was successful because he was cooperative and drank a lot of water. Conclusion: Giving fluids can overcome Hypovolemia in Dengue Hemorrhagic Fever patients for 3 days and it is recommended for nurses to apply fluids and motivate patients to keep drinking lots of water.

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