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All Journal NURSING UPDATE JURNAL ILMIAH ILMU KEPERAWATAN An Idea Health Journal Jurnal Medika Usada
Anisah, Layli
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Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health

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INTERVENSI VAP BUNDLE PADA NEONATUS DENGAN RESPIRATORY DISTRESS SYNDROME YANG TERPASANG VENTILATOR MEKANIK: CASE STUDY Sasadhara, Avinnia; Indarwati, Ferika; Anisah, Layli
NURSING UPDATE : Jurnal Ilmiah Ilmu Keperawatan P-ISSN : 2085-5931 e-ISSN : 2623-2871 Vol 15 No 2 (2024): JUNI
Publisher : NHM PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36089/nu.v15i2.2015

Abstract

Background: VAP occurs due to nosocomial infection in patients who have been intubated with a mechanical ventilator using an ETT with a duration of use ≥ 48 hours. This nosocomial pneumonia can be prevented by implementing VAP bundle interventions aimed at reducing the risk of VAP in patients. Purpose: To assess the effect of VAP bundle interventions in a neonatal patient with respiratory distress syndrome who is intubated with a mechanical ventilator. Methods: The method used in this research is a case study implementing the 5 elements of VAP bundle intervention carried out for 5 days in a neonatal patient intubated with a mechanical ventilator in the PICU-NICU room of the Regional Public Hospital of Temanggung Regency. Results: The results of this case study showed that after implementing the VAP bundle interventions for 5 days in a row, most of the clinical criteria of VAP were not found in the neonatal patient, such as HR, RR, SpO2, and temperature were stable on average and secretion production during suction was white with liquid consistency. Conclusion: The implementation of VAP bundle interventions can prevent the occurrence of VAP in neonatal patient with respiratory distress syndrome who is intubated with a mechanical ventilator.
Manajemen Nutrisi pada Bayi BBLSR dengan Pemberian Fortifikasi ASI, Susu formula, dan ASI Nafisa, Sayyida; Indarwati, Ferika; Anisah, Layli
An Idea Health Journal Vol 5 No 02 (2025)
Publisher : PT.Mantaya Idea Batara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53690/ihj.v5i02.486

Abstract

A very low birth weight infant (VLBW) with a birth weight of <1500 grams has extremely low nutrient reserves, such as calcium, phosphate, iron, zinc, and vitamins, with little to no subcutaneous fat and glycogen stores. The management of VLBW infants focuses on providing nutrition through fortification, formula milk, or breast milk if lactation is sufficient. This study aims to examine the impact of weight management in VLBW infants through the administration of fortification, formula milk, and breast milk.This research employs a case study method by administering fortified breast milk, formula milk, and breast milk over ten days to a VLBW infant treated in the PICU-NICU of Temanggung Regional Hospital. The results show that after receiving fortified breast milk, the infant’s weight increased by 70 grams. When given formula milk, there was no weight gain, while breast milk administration resulted in a weight gain of 75 grams. These findings indicate that breast milk provides the most significant weight gain without causing weight loss, although the increase occurs gradually.It is recommended that parents of VLBW infants optimize weight gain by providing exclusive breastfeeding, either directly or indirectly, if the infant has difficulty nursing.
Pengaruh Pemberian Posisi Pronasi Terhadap Peningkatan Saturasi Oksigen Pada Neonatus Dengan Distress Respirasi di Ruang NICU RDUD Temanggung Rahayu, Idum Laela; Indarwati, Ferika; Anisah, Layli
JURNAL MEDIKA USADA Vol. 8 No. 1 (2025): Jurnal Medika Usada
Publisher : STIKES ADVAITA MEDIKA TABANAN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54107/medikausada.v8i1.389

Abstract

Abstract Background: respiratory distress is a condition in which a baby experiences a lack of surfactant in the alveoli, leading to breathing difficulities, decreased oxygen saturation due to the immaturity of organ systems caused by insufficient gestasional age. The non-pharmacological technique that can be used to improve oxygen saturation is the prone position. Research method: This research method used in this intervention is a case report with an intervention approach. This research was conducted in the NICU unit of Temanggung Regional Hospital, the research carried out on 26-30 December 2024. The research participants were neonate patient with diagnosis distress respiration. Oxygen saturation was measured before and after the prone position was applied. Result: After being given prone position intervention within 2 hours for five days, there was an increase in oxygen saturation, on the first day from 89% to 90% and on the fifth day there was an increase from 99% to 100%. Conclusion: intervention of prone position is an effective on improving oxygen saturation in neonates with respiratory distress syndrome and it is quite easy to do because it does not require special skills and can be done at any time.
Co-Authors Ferika Indarwati, Ferika Nafisa, Sayyida Rahayu, Idum Laela Sasadhara, Avinnia