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Journal : Nursing Case Insight Journal

Hyperthermia in a Patient with Relapse Malaria: A Case Report Mujahidah, Shafira Aulia; Sari, Eka Afrima; Pebrianti, Sandra
Nursing Case Insight Journal Vol. 3 No. 2 (2025): Nursing Case Insight Journal
Publisher : CV. Literasi Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63166/mygx4h65

Abstract

Malaria is an infectious disease that caused by Plasmodium infection in red blood cells. The main clinical manifestations that appear in malaria are fever with shivering, shaking, and sweating and weakness. This condition can cause severe hyperthermia, which is at risk of causing brain damage, seizures, or delirium. This study aims to see the characteristics of fever and implementation in patients with malaria relapse. A 41-year-old man with a history of malaria four months ago. During the first malaria, the patient experienced fever to shivering and sweating as well as muscle pain and fatigue every morning. In malaria relapse, complaints of fever and chills every morning were exacerbated by complaints of dizziness as if being hit and weakness. Laboratory examination results found Plasmodium vivax gametocyte and schizont stages. The patient received paracetamol, cefixime, dexamethasone, and DHP Frimal therapy as well as Tepid Water Sponge therapy. After three days of treatment with a combination of pharmacological therapy and tepid water sponge, there was a decrease in temperature from 38.4°C with warm extremities, sweating, headache and shivering to 37.8°C on the second day and 36.7°C on the third day with warm extremities and no shivering, no headache and more fit. The administration of a combination of pharmacological and non-pharmacological tepid water sponge therapy in patients with malaria relapse was able to reduce hyperthermia. Further researchers are expected to be able to examine more widely the effectiveness of actions to reduce hyperthermia in adult patients with malaria.
Application of Pursed-Lip Breathing in a Patient with Right-sided Pneumothorax (Pneumothorax Dextra): a Case Report Nur'aeni, Yuni; Sari, Eka Afrima; Platini, Hesti
Nursing Case Insight Journal Vol. 3 No. 2 (2025): Nursing Case Insight Journal
Publisher : CV. Literasi Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63166/px7kvw55

Abstract

Pneumothorax is a condition in which air enters the pleural cavity of the lungs, potentially disrupting the respiratory process. A common clinical manifestation is severe shortness of breath during inspiration. Pursed-lip breathing is a non-pharmacological therapy that can relax the respiratory muscles and reduce dyspnea. This study aims to examine the application of pursed-lip breathing in a patient with pneumothorax and its effect on respiratory status. Mr. X, a 70-year-old fisherman, was admitted to the hospital with complaints of severe shortness of breath and difficulty breathing. The patient was medically diagnosed with right-sided pneumothorax due to ruptured bleb, suspected to be caused by chronic active pulmonary tuberculosis. A chest tube thoracostomy (CTT) procedure had been performed. The patient had a 55-year history of smoking 1.5-2 packs of cigarettes per day. This case report employed a nursing care approach. The intervention administered was pursed-lip breathing, conducted over three days with three repetitions per session. The evaluation focused on respiratory rate, oxygen saturation, and the level of dyspnea based on the Modified Borg Scale and the Modified Medical Research Council (mMRC) Dyspnea Scale. Evaluation results showed a decrease in respiratory rate from 25 to 21 breaths per minute and an increase in oxygen saturation from 94% to 97%. Additionally, dyspnea severity decreased from a Borg score of 3 to 2 and from mMRC grade 2 to grade 1 following the intervention. Pursed-lip breathing can improve respiratory status and reduce dyspnea, suggesting its potential as a non-pharmacological therapy for patients with pneumothorax. 
Co-Authors Aan Nuraeni Adinda Putri Lestari Adli Wistara Afina Chairunnisa Ahmad Ihsan Fathurrizki Anggi Jamiyanti Annisa Nurbaiti Rahmah Arifin, M Z Atlastieka Praptiwi Aulia, Hannifa Dwi Bambang Aditya Nugraha Bambang Aditya Nugraha Carissa Muthia Putri Nugroho Cecep Eli Kosasih Chandra Isabella Hostanida Purba Citra Windani Mambang Sari Constantius Augusto Daila Dahlia Rojabani Dandi Trianta Barus Delia Amalia Deshita Rimadania Desri Kristina Silalahi Dien Rahmawati Diena Yudiarti Dwi, Tia E, Ermiati Ermiati Ermiati Ermiati Ermiati Fadillah, Jasmine Fasya Fatimah, Sari Filiyanti Halim GERALDI, ARIK Hamidah . Hamjah, Apip Harun, Hasniatisari Harun, Hasniatisari Hesti Platini Hesty Susanti Husneni Mukhtar Iwan Shalahuddin Karina, Grashiva Putri Kusnahadi Susanto lukman, dede Maria Komariah Megalita Dwika Stevani Mira Trisyani Mujahidah, Shafira Aulia Musawi, Husein Nita Fitria Nur'aeni, Yuni Nursiswati Puspita, Tita Putri Noor Kholisoh Purnama Wati Putwi Rizki Sakinah Rahayu Merdekawati Rahmania, Sina Sabila Rahmawati, Syifa Eka Ramdani Ramdani Ristina Mirwanti Rohaeti, Sri Elis Rohayanti, Yanti Rojabani, Daila Dahlia Salsabilla, Sausan Zahrah Salwa Sandra Pebrianti Sandra Pebrianti Sarah Arnika Simatupang Sari, Yuyun Kartika Sastianingsih, Siska Seizi Prista Sari Setiani, Haniifah Sheizi Prista Sari Sicilia, Asha Grace Sifva Fauziah Siska Sastianingsih Sri Hartati Pratiwi SUDIYONO, OOY ARIE Sutandi, Andi Suto Setiyadi Taty Hernawaty Teuku Zulkarnain Muttaqien Titis Kurniawan Titis Kurniawan Trias Eka Nurlela Tsauroh, Salsabila Fiqrotu Tuti Pahria Urip Rahayu Wafiq Nurul Azizah Willy Anugrah Cahyadi Windiramadhan, Alvian Pristy Yoga Pujiraharjo Yosilistia, Yosilistia Yusshy Kurnia Herliani Yusshy Kurnia Herliani Yusshy Kurnia Herliani, Yusshy Kurnia Yutantri, Savitri Kartika