Uswatun Khasanah
Institut Teknologi dan Kesehatan Mahardika, Jawa Barat, Indonesia

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Nursing Care for Mr. S, Diagnosed with Pulmonary Tuberculosis (TB) in the Emergency Department (ED) of Gunung Jati Hospital in Cirebon City Nadia Sindia Devi; Indah Mamay Maftuhah; Uswatun Khasanah; Neneng Rimawati Nurokhman; Endah Sari Purbaningsih
Al Makki Health Informatics Journal Vol. 2 No. 4 (2024): Al Makki Health Informatics Journal
Publisher : Al Makki Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57185/hij.v2i4.23

Abstract

Tuberculosis or TB is a disease caused by infection of the Mycobacterium tuberculosis bacteria in the lungs. This condition is sometimes referred to as pulmonary TB. Tuberculosis bacteria that invade the lungs cause respiratory problems, such as chronic cough and shortness of breath. TB patients usually also experience other symptoms, such as night sweats and fever. This study aims to provide an overview of the implementation of Nursing Care in patients with a medical diagnosis of Pulmonary Tuberculosis (TB) in the emergency room of Gunung Jati Hospital, Cirebon City. The method used is a case study approach. The subject in this case study was one patient diagnosed with Pulmonary Tuberculosis (TB) in the emergency room. The results showed nursing care management in patients diagnosed with Pulmonary Tuberculosis (TB). The nursing problem is Ineffective Airway Cleansing, which is carried out by interventions, namely effective cough techniques; interventions are carried out when the patient has difficulty removing sputum, the results obtained at the time of assessment, the patient complains of shortness of breath, coughing and difficulty removing sputum. Before performing effective cough techniques, respiration was 28x/minute, and after performing effective cough techniques, respiration decreased to 25x/minute. This study implies non-pharmacological techniques, such as effective coughing techniques, can be essential in managing patients with pulmonary tuberculosis alongside pharmacological therapy. This study provides a valuable contribution to improving the understanding and practice of nursing care in Tuberculosis cases in the hospital environment, especially in the emergency room of Gunung Jati Hospital, Cirebon City.
Asuhan Keperawatan Pada Ny.S Dengan Diagnosa Medis CHF di Ruang Intensive Care Cardiovaskuler Unit (ICCU) Indah Mamay Maftuha; Endah Purbasari; Nadia Sindia Devi; Neneng Rimawati Nurokhman; Uswatun Khasanah
Cerdika: Jurnal Ilmiah Indonesia Vol. 4 No. 5 (2024): Cerdika: Jurnal Ilmiah Indonesia
Publisher : Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/cerdika.v4i5.797

Abstract

Gagal jantung kongestif atau juga disebut Congestive Heart Failure (CHF) adalah ketidakmampuan jantung saat memompa darah untuk memenuhi kebutuhan oksigen dan nutrisi ke jaringan tubuh (Rispawati, 2019). Congestif Heart Failure (CHF) juga didefinisikan sebagai suatu kondisi patologis saat jantung tidakmampuan memompakan darah yang cukup untuk memenuhi kebutuhan metabolik tubuh, hal ini disebabkan karena adanya gangguan kontraktilitas jantung (disfungsi sistolik) atau pengisian jantung (diastolik) sehingga nilai curah jantung lebih rendah dari biasanya (Mittnacht & Reich, 2021). Penelitian ini bertujuan untuk memberikan gambaran pelaksanaan asuha keperawatan pada Ny. S dengan diagnosa medis CHF Di Ruang Intensive Care Cardiovaskuler Unit (ICCU). Metode Penelitian yang digunakan adalah studi kasus. Subjek dalam studi kasus ini adalah satu pasien yang mengalami CHF di ruang ICCU. Hasil dari studi kasus yang telah dilakukan di dapatkan sesak nafas berkurang, masih terdapat retraksi dada, nafas dangkal berkurang, pasien tampak lebih nyaman, tanda-tanda vital : TD : 135/80 mmHg, Nadi 90x/menit, Respirasi 24x/menit, Suhu 360C, SPO2 98%.. Berdasarkan asuhan keperawatan yang telah dilakukan dapat disimpulkan bahwa pemberian oksigenasi pada pasien CHF dapat mengurangi sesak nafas dan terbukti merubah kondisi pasien menjadi lebih baik