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All Journal Care : Jurnal Ilmiah Ilmu Kesehatan
Gunarti, Tri
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Health Professions Nursing Public Health

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Literature Review : Perbandingan Nilai PetCO2 dan PaCO2 Pada Pasien Kritis Terpasang Ventilasi Mekanik Gunarti, Tri; Sukartini, Tintin; Mirzanah, Syafaatun
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 11, No 3 (2023): EDITION NOVEMBER 2023
Publisher : Universitas Tribhuwana Tunggadewi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33366/jc.v11i3.4882

Abstract

Monitoring carbon dioxide in patients on mechanical ventilation is crucial for critical care nurses. Monitoring the value of arterial carbon dioxide pressure involves invasive arterial blood gas analysis. Monitoring end-tidal carbon dioxide pressure using capnography is a non-invasive method. This study aims to compare end-tidal carbon dioxide values with arterial carbon dioxide pressure in mechanically ventilated patients. The research design is a literature review. Searches were conducted through Scopus, ScienceDirect, ProQuest, and PubMed from 2018 to 2023. The Preferred Reporting Items for Systematic Review and Meta-Analyses flowchart method was used to select articles. The Critical Appraisal Skills Programme was used to assess article quality. Out of 79 articles, nine articles met the criteria. The procedures for collecting end-tidal carbon dioxide pressure and arterial carbon dioxide pressure data varied in terms of instrument types used and the subjects studied. There was no significant difference in carbon dioxide values between the end-tidal carbon dioxide and arterial carbon dioxide pressure methods. The agreement in comparing carbon dioxide values was acceptable. Measuring end-tidal carbon dioxide pressure has the potential to monitor mechanically ventilated patients, reducing the need for invasive monitoring, high costs, and repetitive arterial blood gas analysis. 
The Importance of Monitoring Blood Glucose Test in Patients Post-operative Coronary Artery Bypass Graft Surgery Dayoko, Abit Mawan; Gunarti, Tri; Putri, Fitria Habibah Nita Yuliana Eka
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 12, No 2 (2024): EDITION JULY 2024
Publisher : Universitas Tribhuwana Tunggadewi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33366/jc.v12i2.5816

Abstract

Hyperglycemia is a risk factor for cardiac surgery-associated acute kidney injury in post-operative coronary artery bypass graft surgery patients. Glycemic control is important to prevent cardiac surgery-associated acute kidney injury. Postoperative glycemic control suggested 110-150 mg/dL. The aims of this study were to lower blood glucose levels and reduce the risk of occurrence or severity of cardiac surgery-associated acute kidney injury in post coronary artery bypass graft surgery patients. This study was conducted with a case study design involving 2 post operative coronary artery bypass graft patients who experienced hyperglycemia on the 1st to the 3rd day of treatment. Data collection was carried out from May 22 to May 23, 2023. The results of the case study showed that monitoring blood glucose in post-cardiac surgery patients is very important. Both patients experienced hyperglycemia in the early postoperative phase. With close monitoring and administration of insulin therapy according to the doctor's advice, the blood sugar levels of both patients were controlled. Monitoring urine output and evaluating serum creatinine levels showed that the first patient had cardiac surgery-associated acute kidney injury stage 1 on day 2 and showed improvement on day 3. The second patient did not develop cardiac surgery-associated acute kidney injury. The role of critical nurses in monitoring blood glucose levels and administering insulin doses is supported by related research. Strict monitoring and target ranges of blood glucose levels, in collaboration with the medical team are necessary to reduce the risk of cardiac surgery-associated acute kidney injury events.
Co-Authors Dayoko, Abit Mawan Mirzanah, Syafaatun Putri, Fitria Habibah Nita Yuliana Eka Tintin Sukartini Sukartini, Tintin Sukartini