ESTER YESIANA, S.Kep (2024) ASUHAN KEPERAWATAN MEDIKAL BEDAH PADA Tn. M DENGAN DIAGNOSA KEPERAWATAN PENURUNAN CURAH JANTUNG DI RUANG ICU RSUD MUARA TEWEH TAHUN 2024. Other thesis, STIKES SUAKA INSAN.
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Abstract
ASUHAN KEPERAWATAN MEDIKAL BEDAH PADA Tn. M DENGAN DIAGNOSA KEPERAWATAN PENURUNAN CURAH JANTUNG DI RUANG ICU RSUD MUARA TEWEH Ester Yesiana1, Oktovin2 Email: [email protected] INTIASARI Latar Belakang: Penderita Acute Decompensated Heart Failuree (ADHF) terjadi pada pasien dengan serangan yang sangat cepat. Seringkali pasien mengalami kesulitan mempertahankan oksigenasi sehingga mereka cenderung sesak napas dan dapat mengakibatkan kelelahan pada otot-otot pernafasan sehingga beresiko Aritmia. Pada temuan kasus di RSUD Muara Teweh, dimana Pasien Tn.M dengan diagnose medis ADHF dirawat di ruang ICU dengan sesak dan jantung terasa berdebar-debar, TD: 145/78 mmHg, N: 116 x/menit, R: 30x/menit, S: 36.5 C, SpO2 98% pada ekstermitas terdapat pembengkakkan di kedua kaki dengan pitting edema 2 derajat dan hasil EKG menunjukan Synus Tachicardia. Diagnose keperwatan utama adalah Penurunan Curah Jantung. Salah satu penanganan yang umumnya diberikan adalah dengan memberikan oksigenasi, Deep diagfragmatic breathing exercise dan posisi semi fowler serta terapi farmakologi Tujuan: Melaksanakan asuhan keperawatan medikal bedah pada pasien Tn. M dengan diagnosa keperawatan penurunan Curah Jantung pada pasien ADHF Metode: Melakukan proses asuhan keperawatan dari pengkajian, menentukan diagnosa, intervensi, implementasi dan evaluasi berdasarkan evidence based practice dengan memberikan oksigenasi deep diagfragmatic breathing dan posisi semi fowler. Teknik pengumpulan data yang di gunakan antara lain: wawancara, observasi dan pemeriksaan fisik Hasil: Masalah keperawatan Penurunan Curah Jantung Belum Teratasi dimana pasien mengeluh sesak masih ada walaupun sudah mulai berkurang dan hasil EKG menunjukan SVT. Kesimpulan: pada kasus adhf dengan penurunan curah jantung dengan manajemen artemia belum teratasi Kata Kunci: Penurunan Curah Jantung, deep diagfragmatic breathing, semi fowler ¹Mahasiswa Sekolah Tinggi Ilmu Kesehatan Suaka Insan Banjarmasin ²Dosen Sekolah Tinggi Ilmu Kesehatan Suaka Insan Banjarmasin 6 MEDICAL SURGICAL NURSING CARE Mr. M WITH NURSING DIAGNOSIS OF DECREASED CARDIAC CURRENT IN THE ICU ROOM RSUD MUARA TEWEH Ester Yesiana1, Oktovin2 Email: [email protected] ABSTRACT Background: Acute Decompensated Heart Failure (ADHF) occurs in patients with a very rapid onset. Patients often have difficulty maintaining oxygenation so they tend to be short of breath and this can result in fatigue in the respiratory muscles, leading to the risk of arrhythmias. In the case findings at Muara Teweh Regional Hospital, where patient Mr. S: 36.5 C, SpO2 98% in the extremities, there was swelling in both legs with pitting edema of 2 degrees and the EKG results showed Synus Tachicardia. The nursing diagnosis is Decreased Cardiac Output. One of the treatments generally given is oxygenation, deep diaphragmatic breathing exercise and semi-Fowler position as well as pharmacological therapy. Objective: To carry out medical surgical nursing care for patients Mr. M with a nursing diagnosis of decreased cardiac output in ADHF patients Method: Carrying out the nursing care process of assessment, determining diagnosis, intervention, implementation and evaluation based on evidence-based practice by providing deep diaphragmatic breathing oxygenation and semi-fowler position. Data collection techniques used include: interviews, observation and physical examination Results: The nursing problem of decreased cardiac output has not been resolved, where the patient complains that the shortness of breath is still there even though it has begun to decrease and the ECG results show SVT. Conclusion: in cases of ADHF with decreased cardiac output with artemia management it has not been resolved Keywords: Decreased cardiac output, deep diagfragmatic breathing, semi fowler ¹Student of Suaka Insan Banjarmasin School of Health Sciences ²Lecturer at Asylum in Banjarmasin High School of Health Sciences
| Item Type: | Thesis (Other) |
|---|---|
| Divisions: | Profesi Ners |
| Depositing User: | Abdul Kadir S.Kom |
| Date Deposited: | 02 Oct 2024 06:50 |
| Last Modified: | 02 Oct 2024 06:50 |
| URI: | https://repository.stikessuakainsan.ac.id/id/eprint/452 |
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