Ulandari, Pipit (2024) ASUHAN KEPERAWATAN GAWAT DARURAT BERSIHAN JALAN NAPAS TIDAK EFEKTIF PADA PASIEN PNEUMONIA DI RUMAH SAKIT Dr. DRADJAT PRAWIRANEGARA SERANG. D3 thesis, UNIVERSITAS SULTAN AGENG TIRTAYASA.

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Abstract

Pneumonia is a disease that attacks the lung organs, where according to (Indonesian Ministry of Health, 2019) pneumonia is an acute infectious disease that affects the tissue (lungs), specifically the alveoli, which is caused by several microorganisms such as viruses, bacteria, fungi and other microorganisms. The symptoms that appear in patients who have pneumonia are difficulty breathing, patients also experience an increase in body temperature due to lower respiratory tract infections. This type of research uses descriptive research with case studies. Descriptive research is research that explains or describes a situation objectively. Descriptive research in the form of case studies using a nursing care approach includes assessment, nursing diagnosis, nursing intervention or planning, implementation or implementation of the nursing process and evaluation. The results of research conducted in the emergency room at Dr. Hospital. Dradjat Prawiranegara Serang on 2 patients diagnosed with pneumonia obtained objective and subjective data that supports the emergence of a nursing diagnosis of Ineffective Airway Clearance. The intervention that will be carried out is airway management with the following actions: Monitor breathing patterns (frequency, depth, respiratory effort), Monitor additional breath sounds (eg gurgling, wheezing, weezing, crackles), Monitor vital signs, Monitor sputum (amount, color, aroma), Administer oxygen, monitor oxygen saturation, position the patient in semi-Fowler's or Fowler's position. The nursing action given on the first day to both patients was oxygenation therapy. Patient 1 was given nasal cannula oxygenation therapy with a flow of 3 lpm, while patient 2 was given nasal cannula oxygenation therapy with a flow of 4 lpm. Nursing actions on days two to three include monitoring breathing patterns (frequency, depth, respiratory effort), monitoring additional breath sounds (eg gurgling, wheezing, weezing, crackles), monitoring vital signs, monitoring sputum (amount, color, aroma), monitor oxygen saturation, position the patient semi-fowler or fowler. After carrying out nursing care on patient 1 and patient 2 for three days, it can be concluded that in patient 1 after carrying out nursing actions in accordance with the intervention, the criteria for the results achieved include: Decreased sputum production resolved, decreased breath sounds not resolved, decreased dyspnea resolved, the respiratory frequency has improved, the breathing pattern has improved, while in patient 2 after nursing action for three days it can be concluded that the criteria for decreased sputum production have not been resolved, decreased breath sounds have not been resolved, dyspnea has decreased not resolved, respiratory frequency has not resolved, breathing pattern improved but not resolved.

Item Type:	Thesis (D3)
Contributors:	Contribution Contributors NIP/NIM Thesis advisor Nurlaela, Ella 202002032151 Thesis advisor Hermala Dewi, Nelly 197906142005012009
Additional Information:	Pneumonia adalah penyakit yang meyerang organ paru- paru, dimana menurut (Kemenkes RI, 2019) pnemunia adalah penyakit infeksi akut yang mengenai jaringan (paru-paru) tepatnya di alveoli yang disebabkan oleh beberapa mikroorganisme seperti virus, bakteri, jamur, maupun mikroorganisme lainnya. Gejala-gejala yang muncul pada pasien yang mengalami pneumonia adalah kesulitan bernapas, pasien juga mengalami peningkatan suhu tubuh akibat infeksi saluran pernapasan bawah. Jenis penelitian ini menggunakan penelitian deskriptif dengan studi kasus. Penelitian deskriptif adalah penelitian yang menjelaskan atau menggambarkan suatu keadaan secara objektif. Penelitian Deskriptif dalam bentuk studi kasus dengan menggunakan pendekatan Asuhan Keperawatan meliputi pengkajian, diagnosa keperawatan, intervensi atau perencanaan keperawatan, implementasi atau pelaksanaan proses keperawatan serta evaluasi. Hasil penelitian yang telah dilakukan di IGD Rumah Sakit Dr. Dradjat Prawiranegara Serang terhadap 2 pasien yang terdiagnosa pneumonia didapatkan data objektif dan subjektif yang menunjukkan munculnya diagnosis keperawatan Bersihan Jalan Napas Tidak Efektif. Intervensi yang akan dilakukan yaitu Manajemen jalan napas dengan Tindakan : Monitor pola napas (frekuensi, kedalaman, usaha napas), monitor bunyi napas tambahan (mis. Gurgling, mengi, weezing, ronkhi), monitor tanda-tanda vital, monitor sputum (jumlah, warna, aroma), berikan Oksigen, monitor saturasi oksigen, posisikan pasien semi fowler atau fowler. Tindakan keperawatan yang diberikan pada hari pertama yang diberikan kepada kedua pasien ada dengan pemberian terapi oksigenasi. Pada pasien 1 diberikan terapi oksigenasi nasal kanul dengan aliran 3lpm sedangkan pada pasien 2 diberikan terapi oksigenasi nasal kanul dengan aliran 4lpm. Tindakan keperawatan pada hari ke dua sampai hari ke tiga yaitu memonitor pola napas (frekuensi, kedalaman, usaha napas), memonitor bunyi napas tambahan (mis. Gurgling, mengi, weezing, ronkhi), memonitor tanda-tanda vital, memonitor sputum (jumlah, warna, aroma), memonitor saturasi oksigen, memposisikan pasien semi fowler atau fowler. Setelah dilakukan Asuhan Keperawatan pada pasien 1 dan pasien 2 selama tiga hari dapat disimpulkan bahwa pada pasien 1 setelah dilakukan Tindakan keperawatan sesuai dengan intervensi, sehingga mendapatkan kriteria hasil yang tercapai meliputi, Produksi sputum menurun teratasi, bunyi napas menurun belum teratasi, dispnea menurun teratasi, frekuensi napas membaik teratasi, pola napas membaik teratasi, sedangkan pada pasien 2 setelah implementasi keperawatan selama 3 hari dapat disimpulkan kriteria hasil produksi sputum menurun belum teratasi, bunyi napas menurun belum teratasi, dispnea menurun belum teratasi, frekuensi napas membaik belum teratasi, pola napas membaik belum teratasi.
Uncontrolled Keywords:	Emergency Nursing Care, Ineffective airway clearance, Pneumonia Asuhan Keperawatan Gawat Darurat, Bersihan jalan napas tidak efektif, Pneumonia
Subjects:	R Medicine > RT Nursing
Divisions:	07-Fakultas Kedokteran 07-Fakultas Kedokteran > 14401-Prodi Keperawatan D3
Depositing User:	Ms Pipit Ulandari
Date Deposited:	04 Jul 2024 12:25
Last Modified:	04 Jul 2024 12:25
URI:	http://eprints.untirta.ac.id/id/eprint/37350

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