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Penanganan Nilai Kritis pada Pemeriksaan Ureum Astari Nurisani; Lia Mar’atiningsih; Muuhammad Hadi Sulhan; Gina Nafsa Mutmaina; Sugiah Sugiah; Mamay Mamay; Meti Rizki Utari; Arsylia Intan Zori Ichsani
Jurnal Kesehatan Amanah Vol. 9 No. 1 (2025): Jurnal Kesehatan Amanah
Publisher : Universitas Muhammadiyah Manado

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/jka.v9i1.808

Abstract

Critical values ​​in an examination indicate a disorder that requires special and rapid action to improve patient safety. Urea examination is one of the laboratory parameters that functions as an indicator in assessing the level of kidney function. Urea levels are considered critical if the results exceed 100 mg/dl. This study aims to understand how to handle critical values ​​in urea examinations. This study describes a case in the field of clinical chemistry related to critical results obtained from urea examinations. The object of the case study used in this study was a serum sample, with data showing a critical urea level of 185 mg/dl. Based on the confirmation results, this figure is in accordance with the condition of patients who have kidney failure and will undergo hemodialysis therapy. The conclusion of this study shows that handling critical values ​​in urea examinations is carried out by identifying patient identity and ensuring good sample quality. In addition, the sample testing process must be carried out carefully and precisely, control results must be optimal, the reagents used must have the appropriate temperature and not expired, and the equipment must be properly maintained and calibrated. Finally, confirmation and reporting of results must be carried out accurately and on time.
Profil Kadar Kolesterol pada Penderita Hipertensi di Usia Produktif Gina Nafsa Mutmaina; Astari Nurisani; Sugiah Sugiah; Mamay Mamay; Lia Mar’atiningsih; Meti Rizki Utari; Muhammad Hadi Sulhan; Rismawati Rismawati
Jurnal Siti Rufaidah Vol. 3 No. 3 (2025): :Jurnal Siti Rufaidah
Publisher : PPNI UNIMMAN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/jasira.v3i3.211

Abstract

Hypertension is a chronic clinical condition characterized by persistently elevated blood pressure above normal physiological limits and is a major global health concern due to its strong association with cardiovascular morbidity and mortality. One important contributing factor to hypertension is hypercholesterolemia, or an abnormal increase in total cholesterol levels in the blood. Elevated cholesterol concentrations may accelerate arterial stiffness and increase vascular resistance, thereby worsening blood pressure regulation. This study aimed to describe the relationship between blood pressure status and total cholesterol levels among productive-age individuals diagnosed with hypertension. The study was conducted in July 2023 using a descriptive design. A total of 30 hypertensive respondents within the productive age range were selected through accidental sampling. Data collection involved direct measurement of blood pressure using a sphygmomanometer and assessment of total cholesterol levels through standard clinical procedures. The results showed that the majority of respondents were categorized as having Stage 1 hypertension. With regard to cholesterol profiles, 16 respondents (53%) exhibited normal cholesterol levels, 9 respondents (30%) had borderline high cholesterol levels, and 5 respondents (17%) were classified as having high cholesterol levels. These findings suggest that most hypertensive individuals in the productive age category present with cholesterol levels ranging from normal to borderline high, although a smaller proportion already experience clinically high cholesterol concentrations. The study highlights the importance of regular monitoring of both blood pressure and lipid profiles in productive-age individuals to prevent progression to more severe cardiovascular complications. Lifestyle modification remains a cornerstone in hypertension management, particularly increasing physical activity, adopting a balanced diet low in saturated fats, and maintaining good sleep hygiene. Such preventive strategies can help reduce the dual burden of hypertension and hypercholesterolemia, ultimately lowering the risk of long-term cardiovascular disease.