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All Journal Journal Of Bionursing
Kadek Ayu Erika
Nursing Study Program, Faculty of Nursing, Hasanuddin University

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Respiratory Distress of Newborn dengan Pemantauan Respirasi dan Alih Baring untuk Mengatasi Hiperbilirubinemia di Ruang Neonatal Intensive Care Unit: Studi Kasus Musfirah; Kadek Ayu Erika; Rifka Zulfiani Latinapa; Abdul Kadir
Journal of Bionursing Vol 4 No 3 (2022): Journal of Bionursing
Publisher : Fakultas Ilmu-ilmu Kesehatan Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.bion.2022.4.3.150

Abstract

Respiratory Distress of Newborn (RDN) is a common cause of newborns respiratory distress. The RDN appears within a few hours after birth, and mostly often appears soon after birth. RDN usually has symptoms of tachypnea with a respiratory rate of more than 60 breaths per minute accompanied by grunting, chest retractions, nostril breathing, and cyanosis. Asphyxia is one of the causes of RDN. In addition, asphyxia can cause an increase in bilirubin levels in newborns leading to hyperbilirubinemia. This study was to observe the patient's breathing pattern and bilirubin levels among infants with RDN. A descriptive study, specifically case study design was utilized. The subject of this case study was baby H who diagnosed with RDN with CPAP installed on the 4th day. Results showed that monitoring vital signs for 3 days can improve breathing patterns and prevent respiratory failure. Meanwhile, phototherapy along with bed transfer has been shown to reduce bilirubin levels from bilirubin levels before the intervention, namely 20.65 mg/dl to 7.57 mg/dl after the intervention. Respiratory monitoring can improve respiratory rate. In addition to phototherapy, infants can also be given bed rest while monitoring vital signs to treat hyperbilirubinemia in RDN infants.
Perawatan Stoma pada Bayi dengan Malformasi Anorektal Letak Tinggi tanpa Fistula di Ruang Neonatal Intensive Care Unit : Studi Kasus Asmira; Fransisca Lio; Sri Deviyanti; Kadek Ayu Erika; Nur Fadilah; Irmayanti
Journal of Bionursing Vol 4 No 3 (2022): Journal of Bionursing
Publisher : Fakultas Ilmu-ilmu Kesehatan Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.bion.2022.4.3.151

Abstract

Anorectal malformation without fistula is a congenital disorder that requires a colostomy. Stoma care is very important to prevent infection in neonates, with good care it is hoped that there will be no damage to the integrity of the skin area around the stoma. This study was to report changes in skin color around the stoma in infants with high anorectal malformations without fistulas in the Neonatal Intensive Care Unit (NICU) after stoma treatment. Using a case study design by describing the nursing care given to baby S with a gestational age of 38 weeks in a level III A NICU room at Dr. Wahidin Sudirohusodo Hospital Makassar. Data were collected through observation and documentation of stoma care twice at an 8-day interval. Presentation of data using narrative in explaining the results obtained from case studies After the stoma treatment, the skin color appears reddish, and there is no necrotic. Interventions performed on infants with colostomy are stoma care to prevent damage to skin integrity. On were the first observation before the stoma treatment, the skin color around the stoma was brownish and there was necrotic then, after the stoma treatment, the skin color appeared reddish, there was no necrotic. In conclusion, changes in the skin color of the area around the stoma improved after treatment, the patient's stoma appeared to change from brown and there was necrotic to reddish color and no necrotic.