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All Journal E-Jurnal Medika Udayana Malahayati International Journal of Nursing and Health Science
Suastika, Luh Oliva Saraswati
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Health Professions Medicine & Pharmacology

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HUBUNGAN KOMPONEN DALAM PEMERIKSAAN DARAH LENGKAP TERHADAP TINGKAT KEPARAHAN KLINIS PASIEN COVID-19 DI RUMAH SAKIT UNIVERSITAS UDAYANA Suteja, Richard Christian; Purnamasidhi, Cokorda Agung Wahyu; Krisnawardani K, Cokorde Istri Yuliandari; Suastika, Luh Oliva Saraswati
E-Jurnal Medika Udayana Vol 12 No 10 (2023): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2023.V12.i10.P08

Abstract

COVID-19 merupakan suatu wabah yang memiliki tingkat penularan yang cukup tinggi. Oleh karena ketersediaan yang sangat tinggi, pemeriksaan darah lengkap berpotensi digunakan sebagai skrining awal terjadinya tingkat keparahan klinis yang berat pada pasien COVID-19. Penelitian ini bertujuan untuk mengetahui hubungan komponen pemeriksaan darah lengkap terhadap tingkat keparahan klinis pasien pada COVID-19. Sebuah studi potong lintang dilakukan di Rumah Sakit Universitas Udayana pada pasien COVID-19 berusia 18-59 tahun yang terkonfirmasi via RT-PCR dan dirawat inap pada Maret 2020 hingga Maret 2021. Pasien dengan rekam medisnya tidak lengkap, tidak menjalani pemeriksaan darah lengkap pada hari pertama, menderita keganasan hematologis, terinfeksi HIV, atau menderita komorbid autoimun dieksklusi dari subyek yang akan dianalisis. Subyek yang telah dibagi menjadi kelompok kritis dan non-kritis berdasarkan kriteria kementerian kesehatan RI kemudian dianalisis hubungannya terhadap komponen dalam pemeriksaan darah lengkap pada hari pertama rawat inap berupa hemoglobin, leukosit, eosinofil, basofil, neutrofil, limfosit, monosit, trombosit, dan komponen turunannya. Variabel usia, jenis kelamin, dan komorbid juga dianalisis untuk menyingkirkan pengaruh variabel perancu. Analisis menemukan bahwa leukosit, eosinofil, basofil, neutrofil, limfosit, monosit, trombosit, NLR, PLR, dan MLR berhubungan secara signifikan terhadap tingkat keparahan klinis pada pasien COVID-19 di Rumah Sakit Universitas Udayana. Hemoglobin tidak berhubungan secara signifikan tingkat keparahan klinis pada pasien COVID-19 di Rumah Sakit Universitas Udayana. Temuan ini dapat membantu klinisi untuk menilai potensi terjadinya perburukan tingkat keparahan klinis menjadi tingkatan berat hingga kritis pada pasien COVID-19.
Tatalaksana Awal Pasien Gagal Jantung Akut Akibat Penyakit Jantung Koroner di Ruang Emergency Pelayanan Jantung Terpadu Rumah Sakit Umum Pusat Sanglah Cahya Ningrum, Ni Komang Sri Adelia; Suastika, Luh Oliva Saraswati; Swi Antara, I Made Putra; Wita, I Wayan
E-Jurnal Medika Udayana Vol 12 No 8 (2023): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2023.V12.i08.P13

Abstract

ABSTRACT Acute heart failure is a clinical syndrome with a complex of symptoms that is typical shortness of breath at rest or during activity. Acute heart failure is mostly caused by coronary heart disease. Coronary heart disease is a heart failure disease with narrowed coronary arteries can be caused by the buildup of a layer of fat on the walls of the coronary arteries. The purpose of this study was to determine the initial management of patients with acute heart failure due to coronary heart disease in the Integrated Heart Service Emergency Room, Sanglah Hospital. This study is a descriptive study using a cross sectional research method on a sample of 43 people who came to the PJT Emergency Room at Sanglah Hospital with a diagnosis of acute heart failure due to coronary heart disease in 2019-2020. The data that has been obtained were then analyzed using SPSS version 24. The results showed that most of the patients 30 sample (69.77%) were male compared to women, there were 13 sample (30.23%). The majority of patients with acute heart failure due to coronary heart disease come to the Emergency Room with complaints of shortness of breath. Initial treatment given in the Emergency Room included intravenous diuretic Furosemide with a dose range of 20-80 mg/IV (93.02%), Beta blockers (2.35%), Nitroglycerin (13.95%), Digoxin (13.95%), and Dobutamine (30.23%). Most of the patients in this study were given Furosemide as an initial treatment according to the PERKI 2020 guidelines which suggest the administration of Furosemide as a treatment for fluid congestion in acute heart failure. Some patients require inotropic support such as Dobutamine which is adjusted according to individual clinical criteria. Supporting examinations were carried out on all study samples (100%) including electrocardiogram (ECG) and chest X-ray examinations. Keywords: Acute heart failure, Coronary heart disease, Initial management
An overview of treatment for atrial septal defect with pulmonary hypertension Gudi, Veronika Anjelina Aho; Suastika, Luh Oliva Saraswati; Sinardja, Cyndiana Widia Dewi
Malahayati International Journal of Nursing and Health Science Vol 6, No 7 (2024)
Publisher : Program Studi Ilmu Keperawata Fakultas Kedokteran Universitas Malahayati Bandar Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v6i7.13212

Abstract

Background: Atrial Septal Defect (ASD) is a congenital heart defect which can be the cause of comorbidities in the form of Pulmonary Arterial Hypertension (PAH) and therapy cannot be done simply by correcting the ASD but requires further study and evaluation.Purpose: Describe the treatment given to patients with ASD and PAH and the correlation between the administration of interventional therapy and the patient's probability of PH.Method: This study is a descriptive quantitative using a cross-sectional research design. The sampling technique was total sampling method. The samples were 41 ASD patients with PAH at Prof. Ngoerah General Hospital in Denpasar in 2022. Patients under 18 years of age and those with other congenital heart disease will be excluded. The demographic characteristics assessed were the patient's age and gender. The therapy data included information on medical therapy and intervention therapy.Results: Focus of medical therapy was supportive therapy rather than specific PAH therapy. Percutaneous ASD closure was the most widely-used intervention therapy compared to surgical ASD closure. Based on statistical analysis, the p value > 0.05 is 0.284, so there is no significant correlation between the probability of the patient's pH and the provision of intervention therapy.Conclusion: At Prof Ngoerah General Hospital Denpasar, the majority of ASD patients with complications of pulmonary hypertension were females aged between 21 to 30 years. The medical therapy given is adjusted based on the severity of PH as assessed through echocardiography examination. Majority of patients received supportive therapy compared to specific therapy for PAH. Medical therapy is prioritized for patients who have contraindication criteria for interventional therapy. Percutaneous ASD Closure was found to be the largest percentage in interventional therapy regardless of the severity, except for patients who were indicated to undergo surgical ASD closure. There is no significant relationship between the patient's PH probability level and the choice of intervention therapy.
Co-Authors Cahya Ningrum, Ni Komang Sri Adelia Cokorda Agung Wahyu Purnamasidhi Gudi, Veronika Anjelina Aho I Wayan Wita Krisnawardani K, Cokorde Istri Yuliandari Sinardja, Cyndiana Widia Dewi Suteja, Richard Christian Swi Antara, I Made Putra