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All Journal Jurnal Peduli Masyarakat Wal'afiat Hospital Journal An Idea Nursing Journal WAL'AFIAT HOSPITAL JOURNAL Prosiding Seminar Nasional Pengabdian Kepada Masyarakat: Peduli Masyarakat
Emin, Wan Sulastri
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Religion Dentistry Economics, Econometrics & Finance Education Health Professions Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary Other

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Journal : WAL'AFIAT HOSPITAL JOURNAL

 1 
Penerapan Manajemen Asma pada Bersihan Jalan Napas pada Pasien Asma Bronchiale di IGD RS. TK. II Makassar Sari Askar, Nurlaela; Sudarman, Sudarman; Emin, Wan Sulastri; Maliga, Muhajirin
Wal'afiat Hospital Journal Vol. 6 No. 2 (2025): Wal'afiat Hospital Journal
Publisher : Rumah Sakit Ibnu Sina, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/v0t25860

Abstract

Bronchial asthma is a chronic inflammatory airway disease that may present with acute exacerbations characterized by bronchospasm, mucus hypersecretion, and increased work of breathing. In emergency settings, nursing care should focus on airway patency and oxygenation. To describe tripod positioning and nebulizer therapy in an acute bronchial asthma patient with ineffective airway clearance in the Emergency Department (ED). A descriptive single-case report in May 2025 at the ED of RS Tk. II Pelamonia Makassar. The intervention included tripod positioning (10 minutes) and nebulizer therapy (15 minutes), with pre- and post-assessment of respiratory rate, oxygen saturation, breath sounds, cough effectiveness, and dyspnea severity, aligned with SDKI–SLKI–SIKI reasoning. Clinical improvement was observed in this case, including reduced respiratory rate (28 to 22 breaths/min), increased oxygen saturation (92% to 97%), resolution of wheezing, more effective cough, and reduced dyspnea severity. Tripod positioning and nebulizer therapy were followed by clinical improvement in this case, while causal inference is limited due to the single-case design and potential concomitant treatments.
Efektivitas Dukungan Ventilasi terhadap Pola Napas pada Pasien Tuberkulosis di IGD RS TK. II Pelamonia Makassar Haeni, Nur; Sudarman, Sudarman; Emin, Wan Sulastri; Asfar, Akbar
Wal'afiat Hospital Journal Vol. 6 No. 2 (2025): Wal'afiat Hospital Journal
Publisher : Rumah Sakit Ibnu Sina, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/3f5nkx41

Abstract

Pulmonary tuberculosis may impair ventilation and increase the work of breathing, placing patients at risk of an ineffective breathing pattern. This case report describes nursing support for ventilation through nurse-led interventions of pursed-lips breathing (PLB) and the semi-Fowler position in a pulmonary tuberculosis patient with an ineffective breathing pattern diagnosis. A descriptive single case report was prepared following CARE guidelines and the nursing process. Observation was conducted for 24 hours in a 69-year-old male patient in the emergency department of RS TK II Pelamonia Makassar. Outcomes were recorded consistently at baseline (March 17, 2025, 10.00 WITA) and at 24-hour follow-up, including respiratory rate (RR), oxygen saturation (SpO₂), signs of respiratory distress, and dyspnea using the Modified Borg Dyspnea Scale. Nurse-led interventions (semi-Fowler 30–45° and structured PLB) were implemented alongside collaborative therapy (oxygen via nasal cannula at 4 L/min and nebulized combivent/pulmicort) as prescribed. Clinical improvement was observed in this case, indicated by a decrease in RR from 25 to 22 breaths/min, an increase in SpO₂ from 96% to 100%, and a decrease in Borg score from 5/10 to 3/10, accompanied by reduced accessory muscle use. Conclusion: the nursing care package (PLB and semi-Fowler position) together with collaborative therapy was followed by improved breathing outcomes in a single pulmonary TB case; causality and generalization are limited and further studies are needed.
Penerapan Head Up terhadap Kesadaran Pasien Cedera Kepala di IGD RSUD Sayang Rakyat Hayati, Nur Ummi; Asfar, Akbar; Emin, Wan Sulastri; Sudarman, Sudarman
Wal'afiat Hospital Journal Vol. 6 No. 2 (2025): Wal'afiat Hospital Journal
Publisher : Rumah Sakit Ibnu Sina, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/nthdvm87

Abstract

Head injury is a traumatic disturbance of brain function that may or may not be accompanied by interstitial bleeding within the brain substance (2,4,5). Emergency management aims to prevent secondary brain injury, including optimizing ventilation/oxygenation and cerebral perfusion, as well as patient positioning. A common non-invasive measure is 30° head elevation (Head-Up) to facilitate cerebral venous drainage. To describe changes in consciousness level (Glasgow Coma Scale/GCS) following the application of a 30° Head-Up position in a patient with moderate head injury in the emergency department. A single-patient case report in the emergency department of RSUD Sayang Rakyat Makassar. The primary Outcome was serial GCS recorded at baseline before elevation (T0) and during observation until transfer. Head-Up 30° was an independent nursing intervention; oxygen therapy was recorded as collaborative therapy. A 50-year-old male (Mr. R) with moderate head injury and subdural hemorrhage. At T0 (10:15 WITA) GCS was 3-3-5; at 10:45 WITA it remained 3-3-5; it increased to 3-3-6 at 12:50 WITA and remained 3-3-6 until 13:54 WITA when the patient was transferred to the operating room. Available observation lasted approximately 3 hours 39 minutes; the planned 8-hour follow-up was not completed due to definitive transfer. In this case, 30° head elevation (with collaborative oxygen therapy) was followed by an improvement in GCS from 3-3-5 to 3-3-6 during ED observation. As descriptive evidence, this report cannot establish causality but supports the use of 30° Head-Up as part of non-invasive early management for head injury.
Co-Authors Asfar, Akbar Asnaniar, Wa Ode Sri Hayati, Nur Ummi Jama, Fatma K, Heidi Maliga, Muhajirin Nur Haeni Sari Askar, Nurlaela Selpin, Selpin Sudarman Sudarman Suhermi, Suhermi Taqiyah, Yusrah