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All Journal Pendidikan Ekonomi Journal Of Nursing Practice Jurnal Keperawatan Muhammadiyah Santhet: (Jurnal Sejarah, Pendidikan Dan Humaniora) Jurnal Esensi Hukum Yumary: Jurnal Pengabdian kepada Masyarakat Jumper : Jurnal Mahasiswa Pendidikan Olahraga Elconika: Jurnal Teknik Elektro
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The Role of Passive legs Raising Position in Hypovolemic Shock: A Case Report and Review of the Literature Rahmawati, Ira; Dilaruri, Ade; Sulastyawati; Supono
Journal Of Nursing Practice Vol. 4 No. 2 (2021): April
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v4i2.130

Abstract

Background: Hypovolemic shock can be catastrophic rapidly unless recognized and treated promptly. Although gastrointestinal loses might be the cause of hypovolemic shock in the elderly, it rarely causes a change in the blood gas analysis results.Purpose: This study aimed to report a case of a 75-year-old male with signs of hypovolemic shock caused by gastrointestinal loses and discuss the effect of passive leg raising procedure as an early nursing intervention in patients presenting with shock.Methods: The method used in this paper is a case study. The subject in this study is a 75-year-old male presenting to our Emergency Room with signs of shock which was caused by gastrointestinal problems. Passive leg raising or also known as modified Trendelenburg Position was performed as the patient presenting with low blood pressure. The results of physical dan laboratory investigation, as well as the nursing and medical therapies were presented, analyzed and discussed based on the recent literature.Results: There was an increase in the Mean Arterial Pressure (MAP) after the intervention was given for five minutes followed by fluid resuscitation with 1000 ml of warm Normal Saline. The patient responded well to the intervention given in the ED and was sent to the Intermediate Ward for further treatments.Conclusion: Passive leg raising might be beneficial to be performed in patients with hypovolemic shock as it increases the venous blood return the heart.
Co-Authors Ach Zayul Mustain Amrul Arif, Taufan Budiono Danang Ari Santoso Dilaruri, Ade Hadi Prayitno Istikharo Jati Widyo Leksono Lurru Erawanjie, Adelia Maria Diah Ciptaningtyas Marsaid marsaid Muhammad Irsyad Mukti Fajar Nur Dewata, Mukti Fajar Nafrizal Oktavia, Devi Ayu Putri Naila Fadlilatul Husna Rudi Hamarno Siswahyudianto Sulastyawati Sulastyawati Tri Rijanto Yoli Adi Cristiyan Yuli Sugianto