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Penerapan Manajemen Asma pada Bersihan Jalan Napas pada Pasien Asma Bronchiale di IGD RS. TK. II Makassar Nurlaela Sari Askar; Sudarman Sudarman; Wan Sulastri Emin; Muhajirin Maliga
Wal'afiat Hospital Journal Vol. 6 No. 2 (2025): Wal'afiat Hospital Journal
Publisher : Rumah Sakit Ibnu Sina, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/v0t25860

Bronchial asthma is a chronic inflammatory airway disease that may present with acute exacerbations characterized by bronchospasm, mucus hypersecretion, and increased work of breathing. In emergency settings, nursing care should focus on airway patency and oxygenation. To describe tripod positioning and nebulizer therapy in an acute bronchial asthma patient with ineffective airway clearance in the Emergency Department (ED). A descriptive single-case report in May 2025 at the ED of RS Tk. II Pelamonia Makassar. The intervention included tripod positioning (10 minutes) and nebulizer therapy (15 minutes), with pre- and post-assessment of respiratory rate, oxygen saturation, breath sounds, cough effectiveness, and dyspnea severity, aligned with SDKI–SLKI–SIKI reasoning. Clinical improvement was observed in this case, including reduced respiratory rate (28 to 22 breaths/min), increased oxygen saturation (92% to 97%), resolution of wheezing, more effective cough, and reduced dyspnea severity. Tripod positioning and nebulizer therapy were followed by clinical improvement in this case, while causal inference is limited due to the single-case design and potential concomitant treatments.

Efektivitas Dukungan Ventilasi terhadap Pola Napas pada Pasien Tuberkulosis di IGD RS TK. II Pelamonia Makassar Nur Haeni; Sudarman Sudarman; Wan Sulastri Emin; Akbar Asfar
Wal'afiat Hospital Journal Vol. 6 No. 2 (2025): Wal'afiat Hospital Journal
Publisher : Rumah Sakit Ibnu Sina, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/3f5nkx41

Pulmonary tuberculosis may impair ventilation and increase the work of breathing, placing patients at risk of an ineffective breathing pattern. This case report describes nursing support for ventilation through nurse-led interventions of pursed-lips breathing (PLB) and the semi-Fowler position in a pulmonary tuberculosis patient with an ineffective breathing pattern diagnosis. A descriptive single case report was prepared following CARE guidelines and the nursing process. Observation was conducted for 24 hours in a 69-year-old male patient in the emergency department of RS TK II Pelamonia Makassar. Outcomes were recorded consistently at baseline (March 17, 2025, 10.00 WITA) and at 24-hour follow-up, including respiratory rate (RR), oxygen saturation (SpO₂), signs of respiratory distress, and dyspnea using the Modified Borg Dyspnea Scale. Nurse-led interventions (semi-Fowler 30–45° and structured PLB) were implemented alongside collaborative therapy (oxygen via nasal cannula at 4 L/min and nebulized combivent/pulmicort) as prescribed. Clinical improvement was observed in this case, indicated by a decrease in RR from 25 to 22 breaths/min, an increase in SpO₂ from 96% to 100%, and a decrease in Borg score from 5/10 to 3/10, accompanied by reduced accessory muscle use. Conclusion: the nursing care package (PLB and semi-Fowler position) together with collaborative therapy was followed by improved breathing outcomes in a single pulmonary TB case; causality and generalization are limited and further studies are needed.

Penerapan Manajemen Asma pada Bersihan Jalan Napas pada Pasien Asma Bronchiale di IGD RS. TK. II Makassar Nurlaela Sari Askar; Sudarman Sudarman; Wan Sulastri Emin; Muhajirin Maliga
Wal'afiat Hospital Journal Vol. 6 No. 2 (2025): Wal'afiat Hospital Journal
Publisher : Rumah Sakit Ibnu Sina, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/v0t25860

Bronchial asthma is a chronic inflammatory airway disease that may present with acute exacerbations characterized by bronchospasm, mucus hypersecretion, and increased work of breathing. In emergency settings, nursing care should focus on airway patency and oxygenation. To describe tripod positioning and nebulizer therapy in an acute bronchial asthma patient with ineffective airway clearance in the Emergency Department (ED). A descriptive single-case report in May 2025 at the ED of RS Tk. II Pelamonia Makassar. The intervention included tripod positioning (10 minutes) and nebulizer therapy (15 minutes), with pre- and post-assessment of respiratory rate, oxygen saturation, breath sounds, cough effectiveness, and dyspnea severity, aligned with SDKI–SLKI–SIKI reasoning. Clinical improvement was observed in this case, including reduced respiratory rate (28 to 22 breaths/min), increased oxygen saturation (92% to 97%), resolution of wheezing, more effective cough, and reduced dyspnea severity. Tripod positioning and nebulizer therapy were followed by clinical improvement in this case, while causal inference is limited due to the single-case design and potential concomitant treatments.

Efektivitas Dukungan Ventilasi terhadap Pola Napas pada Pasien Tuberkulosis di IGD RS TK. II Pelamonia Makassar Nur Haeni; Sudarman Sudarman; Wan Sulastri Emin; Akbar Asfar
Wal'afiat Hospital Journal Vol. 6 No. 2 (2025): Wal'afiat Hospital Journal
Publisher : Rumah Sakit Ibnu Sina, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/3f5nkx41

Pulmonary tuberculosis may impair ventilation and increase the work of breathing, placing patients at risk of an ineffective breathing pattern. This case report describes nursing support for ventilation through nurse-led interventions of pursed-lips breathing (PLB) and the semi-Fowler position in a pulmonary tuberculosis patient with an ineffective breathing pattern diagnosis. A descriptive single case report was prepared following CARE guidelines and the nursing process. Observation was conducted for 24 hours in a 69-year-old male patient in the emergency department of RS TK II Pelamonia Makassar. Outcomes were recorded consistently at baseline (March 17, 2025, 10.00 WITA) and at 24-hour follow-up, including respiratory rate (RR), oxygen saturation (SpO₂), signs of respiratory distress, and dyspnea using the Modified Borg Dyspnea Scale. Nurse-led interventions (semi-Fowler 30–45° and structured PLB) were implemented alongside collaborative therapy (oxygen via nasal cannula at 4 L/min and nebulized combivent/pulmicort) as prescribed. Clinical improvement was observed in this case, indicated by a decrease in RR from 25 to 22 breaths/min, an increase in SpO₂ from 96% to 100%, and a decrease in Borg score from 5/10 to 3/10, accompanied by reduced accessory muscle use. Conclusion: the nursing care package (PLB and semi-Fowler position) together with collaborative therapy was followed by improved breathing outcomes in a single pulmonary TB case; causality and generalization are limited and further studies are needed.

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