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All Journal The Indonesian Journal of Health Science I Care : Jurnal Keperawatan STIKes Panti Rapih
Eva Marti
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Education Health Professions Neuroscience Nursing Public Health

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VALIDITAS TRIASE DILIHAT DARI HUBUNGAN LEVEL TRIASE TERHADAP LENGTH OF STAY PASIEN Di IGD Eva Marti
The Indonesian Journal of Health Science Vol 7, No 1 (2016): THE INDONESIAN JOURNAL OF HEALTH SCIENCE
Publisher : Universitas Muhammadiyah Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32528/the.v7i1.390

Abstract

High level of activities in the Emergency Room requires certain patient sorting system. Role of the triage system in emergency service is to determine which patients who need urgent care the most. Patients’ lenght of stay in the Emergency Room can be used as one of the indicators to evaluate clinical urgency of the patients treated by triage. The study used quantitative method with crosssectional observational analytic design. The purpose of the study was to describe the correlation between the patients’ triage level and their length of stay in the Emergency Room. The researcher analyzed the medical records of the 374 patients admitted to  Emergency Room in the first and second week of August 2015 in order to find out their triage level and length of stay in the Emergency Room. Bivariate analysis, particularly the Sperman’s-Rho analysis, was used to describe the correlation between each triage category and the length of stay in the Emergency Room. Based on the bivariate analysis, it was found that p    0.00  (  0.05)  and the correlation coefficient was 0.327.  The conclusion was based on the statistical analysis, there was significant correlation between triage level and length of stay in the Emergency Room and the level of significance was 0.327.
Penggunaan Ventilasi Mekanik non Invansif Untuk Mengatasi Kegagalan Pernafasan pada Pasien dengan Edema Pulmo Akut Kardiogenik Eva Marti
I Care Jurnal Keperawatan STIKes Panti Rapih Vol 1 No 2 (2020): I Care Jurnal Keperawatan STIKes Panti Rapih
Publisher : STIKes Panti Rapih

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46668/jurkes.v1i2.86

Abstract

Background: Cardiogenic Pulmo edema can cause a heterogeneous syndrome with a mortality rate of up to 9.5% (Aliberti et all., 2018).Objective: The purpose of this paper was to explain how effective the use of non-invasive mechanical ventilation in patients with acute pulmonary edema with respiratory failure. Methods: The literature review was compiled by synthesizing and comparing various relevant scientific articles from the literature search results using the online database of Proquest and Clinicalkey Elsevier that have significance related to the management of acute cardiogenic pulmo edema. Result: Compared with conservative therapy, noninvasive mechanical ventilation has been shown more effective in improving oxygenation in patients with acute cardiogenic pulmo edema Non-invasive ventilation can reduce dyspnea, acidosis and hypercapnea faster than standard oxygen therapy. Studies show that compared to endotracheal intubation, non-invasive mechanical ventilation is associated with a lower risk of nosocomial infection, lower antibiotic use, shorter length of stay in intensive care units and lower mortality. Study found that there were no differences betwen the two setting of non-invasive mechanical ventilation used, Bilevel positive Airway Pressure (BiPAP) and Continues positive Airway Pressure (CPAP) in patients outcomes. However, there are absolute and relative contraindications that must be considered, including the effectiveness of the therapy being insignificant when given too late Conclusion: Noninvasive mechanical ventilation can be considered as the first choice in the management of acute cardiogenic pulmonary edema because of its high clinical effectiveness representing a rescue action for patients not improving with conventional oxygen therapy.
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