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Kurniawati Kurniawati
Fakultas Ilmu Kesehatan Unipdu

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ASUHAN KEPERAWATAN PADA ANAK DENGAN THALASEMIA DI PAVILIUN SERUNI RSUD JOMBANG Handini Eky Adyanti; Ana Farida Ulfa; Kurniawati Kurniawati
Jurnal EDUNursing Vol 4, No 1 (2020): April - Agustus
Publisher : Universitas Pesantren Tinggi Darul Ulum

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Abstract Thalassemia is a disease of chronic that occur in children. Thalassemia is a disease abnormality of blood which is caused by disruption of production hemoglobin the body is reduced . The purpose of the literature study was to determine the nursing process in 4 respondents with thalassemia. The research design uses a literature study with case studies of nursing care in thalassemia patients in Seruni RSUD Jombang in the period 2014-2019. The results    of    the    study    literature     shows     that     problem     of     priority     patients     with thalassemia is perfused peripheral     not effective with a     decrease     in     concentration of hemoglobin. Literature study shows the results of the similarity of the causative factors in 4 respondents who experienced changes in tissue perfusion decreased hemoglobin concentration resulting in decreased O2 binding by erythrocytes so that blood flow to the peripheral tissues decreases and ineffective peripheral perfusion occurs which is characterized by patients feeling weak, conjunctival pallor , CRT> 2 seconds . Peripheral perfusion is not effective as a priority diagnosis because thalassemia patients experience abnormal red blood cell formation, in which blood cells rupture or lysis before 100 days, causing severe anemia that causes decreased  oxygen transport in cells. Keyword : Childcare Nursing, Thalassemia.
ASUHAN KEPERAWATAN PADA KLIEN DENGAN EFUSI PLEURA Arma Lutfiya Yogi Alfian; Kurniawati Kurniawati; Zuliani Zuliani
Jurnal EDUNursing Vol 4, No 2 (2020): September - Maret
Publisher : Universitas Pesantren Tinggi Darul Ulum

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Abstract Pleural effusion is a tern used for fluid accumulation in the pleural cavity. In the normal pleural cavity there is serous fluid with a average amount of 0,1 ml/kg/day (which is in the state of homeostatis there are 5-15 ml of fluid in the pleural movements. The stability of the amount of pleural fluid is regulated though a balance mechanism between transudation of pleura; capillaries and reabsorption by visceral and pariental veins, and lymph nodes. This reserch method of scientific writing is a case study with four patients. This case study literatur a nursing process stage approach that experiences pleural effusion with an ineffective breathing pattern. This conducting nursing literatur study on pleural effusion clients is found diagnosis of an ineffective breath pattern. All clients are resolved, unles one of the client’s Tn. S (46 year) is not resolved due to the attack disease. The achievement of the healing of disease is necessary to evaluate continuously and directed by the record of development, also required knowledge of the regular therapeutic program and management of nursing care with a cooperation between nurses, clients, and other health teams. Keywords: Nursing care, pleural effusion, case study.