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All Journal JURNAL ILMIAH KESEHATAN KEPERAWATAN JURNAL PENDIDIKAN KEPERAWATAN INDONESIA ELKOMIKA: Jurnal Teknik Energi Elektrik, Teknik Telekomunikasi, & Teknik Elektronika Jurnal Keperawatan BSI Jurnal Kreativitas PKM Journal of Nursing Care Jurnal Perawat Indonesia Jurnal Riset Kesehatan Poltekkes Depkes Bandung Indonesian Journal of Global Health research Majalah Kesehatan Indonesia Sehat Masada MAHESA : Malahayati Health Student Journal Journal of Health and Nutrition Research SENTRI: Jurnal Riset Ilmiah Jurnal Keperawatan 'Aisyiyah Jurnal Medika Nusantara Nursing Case Insight Journal
Eka Afrima Sari, Eka Afrima
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Aerospace Engineering Humanities Biochemistry, Genetics & Molecular Biology Computer Science & IT Dentistry Economics, Econometrics & Finance Education Electrical & Electronics Engineering Engineering Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Physics Public Health Other

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Journal : Nursing Case Insight Journal

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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 Arifin, M Z Atlastieka Praptiwi Aulia, Hannifa Dwi Dien Rahmawati Diena Yudiarti Dwi, Tia Fadillah, Jasmine Fasya Fatimah, Sari GERALDI, ARIK Hamidah . Hamjah, Apip Harun, Hasniatisari Hesti Platini Hesty Susanti Husneni Mukhtar Karina, Grashiva Putri Kusnahadi Susanto lukman, dede Mira Trisyani Mujahidah, Shafira Aulia Musawi, Husein Nur'aeni, Yuni Nursiswati Nursiswati Puspita, Tita Rahmawati, Syifa Eka Ristina Mirwanti, Ristina Rohaeti, Sri Elis Rohayanti, Yanti Rojabani, Daila Dahlia Salsabilla, Sausan Zahrah Salwa Sandra Pebrianti Sari, Yuyun Kartika Sastianingsih, Siska Setiani, Haniifah Sheizi Prista Sari Sicilia, Asha Grace Sri Hartati Pratiwi SUDIYONO, OOY ARIE Sutandi, Andi Suto Setiyadi Taty Hernawaty Teuku Zulkarnain Muttaqien Titis Kurniawan Tsauroh, Salsabila Fiqrotu Tuti Pahria Willy Anugrah Cahyadi Windiramadhan, Alvian Pristy Yoga Pujiraharjo Yosilistia, Yosilistia Yusshy Kurnia Herliani, Yusshy Kurnia Yutantri, Savitri Kartika