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All Journal KESANS : International Journal of Health and Science Malahayati International Journal of Nursing and Health Science
Nandar Wirawan
Universitas Bale Bandung
Chemistry Health Professions Medicine & Pharmacology Nursing Physics Public Health

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The Effect of Intervention on Semi Fowler and Fowler Positions on Increasing Oxygen Saturation in Heart Failure Patients Nandar Wirawan; Nandi Periadi; M Iqbal Kusuma
Jurnal KESANS : Kesehatan dan Sains Vol 1 No 11 (2022): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v1i11.104

Abstract

Introduction: In Indonesia, data from the 2013 Basic Health Study showed the prevalence of heart failure was 0.3%, an estimated 530,068 people based on a doctor's diagnosis. Cardiovascular disease is a disease that interferes with the function of the heart and blood vessels, clinical symptoms in patients with congestive heart failure (CHF) include dyspnea, orthopnea, dyspnea and paroxysmal nocturnal dyspnea (PND), pulmonary edema, ascites, pitting edema, weight gain and even shock. cardiogenic. Method: The method used in this research is an experimental research method. The type of research used is quasi-experimental (quasi-experimental). Objective: The purpose of this study was to determine the effect of semi-Fowler and Fowler positions on increasing oxygen saturation in heart failure patients at Sumedang Hospital. Results and Discussion: The first output shows the difference in oxygen saturation of the rear half-fowler of 45 and 90, on the rear half-fowler an average of 94.25, the minimum and maximum values ??of 90-97, Then to catch the rear bird of 90 the average is 96.50 and min and max are 93-99. Conclusion: The effect of half fowler and fowler positions given by Sumedang Hospital to increase blood oxygen saturation in heart failure patients with a value of 90.50. For the second half of Fowler's 45?, get the values, min 90 and max 97 and mean 94.25.
Venom-induced consumption coagulation in a hematotoxin snake bite in East Java, Indonesia: A case report Priyo Sasmito; Leli Mulyatiindo; Janno Berty Bradly Bernadus; Nisa Arifani; Novia Dwi Astuti; Fika Indah Prasetya; Nurfanida Librianty; Nandar Wirawan
Malahayati International Journal of Nursing and Health Science Vol. 7 No. 11 (2025): Volume 7 Number 11
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v7i11.668

Abstract

Background: Located in Southeast Asia, Indonesia is one of the countries with the highest incidence of fatal snakebites in the world. Difficulty in identifying snake species and limited availability of antivenom often pose challenges in treating snakebites. Purpose: To illustrate a case of consumption coagulation caused by a hematotoxin-containing snake venom. Method: A case study study describes a snakebite incident managed in the Emergency Department (ED) of a secondary general hospital in Tulungagung, East Java. A 53-year-old male patient presented with pain, swelling, and bleeding in his left thumb, after being bitten by a yellow-brown Bandotan snake, approximately two hours prior to arrival. Results: The patient was given antivenom therapy according to the guidelines. Patients were also given antitetanus, antibiotics, platelet transfusions and fresh frozen plasma (FFP), supportive therapy, and strict monitoring. in the surgical high care unit (HCU). The patient showed improvement on the fifth day and was discharged on the tenth day. Conclusion: The use of local polyvalent antivenom combined with antibiotics, antitetanus therapy, platelets, and FFP transfusion has shown promising results in the management of toxin-induced coagulopathy. Suggestion: Further studies are needed to evaluate the effectiveness of therapy in different age groups, including children, adults, and the elderly. In addition, this study only focused on therapeutic management and did not assess the impact of treatment on organ dysfunction caused by post-treatment lesions.
Co-Authors Dwi Astuti , Novia Fika Indah Prasetya Janno Berty Bradly Bernadus Leli Mulyatiindo M.Iqbal Angga Kusuma Nandi Periadi Nisa Arifani Nurfanida Librianty Priyo Sasmito