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All Journal Jurnal Ners
Rivani Nur Oktavia
Poltekkes Kemenkes Semarang
Health Professions Medicine & Pharmacology Nursing

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Inhalasi Whipping Pink (Nitrous Oxide) Terhadap Kegawatan Neurologis–Respiratorik: Analisis Misinformasi Media Sosial Dalam Perspektif Keperawatan Kritis Rivani Nur Oktavia; Regyta Marshanda; Budi Widiyanto
Jurnal Ners Vol. 10 No. 3 (2026): JULI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i3.56708

Abstract

Whipping pink inhalation (recreational Nitrous oxide/N₂O) is increasingly popular on social media and is often perceived as safe. However, repeated exposure can trigger neurological emergencies such as peripheral neuropathy, myelopathy due to vitamin B12 deficiency, and respiratory disorders in the form of acute hypoxia and respiratory depression. Digital misinformation has the potential to delay detection and management in critical care. This study aims to analyze the clinical impact of N₂O inhalation on neurological and respiratory emergencies and analyze social media misinformation from a critical care nursing perspective. The method used is an Evidence Based Practice-based literature analysis through a review of the latest scientific journals related to the effects of N₂O toxicity, clinical manifestations, and implications for critical care nursing. The results show that chronic exposure to N₂O inactivates vitamin B12, causing spinal cord demyelination, sensorimotor disorders, and the risk of hypoxia due to oxygen displacement. Early intervention, screening of use history, and evidence-based education are crucial. It was concluded that recreational N₂O inhalation carries a high risk of neurological and respiratory emergencies. Critical care nurses play a strategic role in early detection, stabilization, and education to counter misinformation.
Determinan Multifaktorial Readmisi 30 Hari Pada Pasien Gagal Jantung dan Relevansi Temuan Bagi Praktik Keperawatan: Tinjauan Literatur Regyta Marshanda; Rivani Nur Oktavia; Supadi Supadi
Jurnal Ners Vol. 10 No. 3 (2026): JULI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i3.57917

Abstract

Heart failure is a chronic clinical syndrome with increasing global prevalence and remains one of the leading causes of recurrent hospital admissions among adults and older populations. Approximately 20–25% of patients experience readmission within 30 days after hospital discharge. Thirty-day readmission has been widely used as a quality indicator of healthcare services, reflecting the effectiveness of transitional care and continuity of care. Identifying predictors of early readmission is essential to support risk-based nursing interventions. This study aimed to identify and analyze predictors of 30-day readmission in patients with heart failure through a synthesis of recent scientific evidence. This study is a literature review conducted through a systematic article search process. The literature search was performed using Google Scholar via the Publish or Perish application with the keywords “heart failure” AND “30-day readmission” AND (“risk factors” OR predictors), covering publications from 2015 to 2025. Articles that met the inclusion criteria were analyzed qualitatively to identify and compare predictors of 30-day readmission. The 30-day readmission rate ranged from 17% to 28%. Clinical factors and comorbidities were the most dominant predictors, including chronic kidney disease (aOR 1.32), high comorbidity burden (OR 1.45), diabetes mellitus (aOR 1.18), and chronic obstructive pulmonary disease (OR 1.27). Demographic factors such as age <65 years (OR 1.21) and male sex (aOR 1.09) demonstrated more modest associations. Socioeconomic determinants, including low income and public insurance status, increased readmission risk by 10–25%. Risk prediction models showed moderate discriminative ability (AUC 0.60–0.68). Thirty-day readmission in heart failure patients is influenced by multifactorial determinants, with clinical comorbidities playing a dominant role and reinforced by social determinants. Risk-based nursing approaches, including early risk stratification and structured discharge planning, may help reduce readmission rates and improve patient outcomes.
Co-Authors Budi Widiyanto Regyta Marshanda Supadi Supadi