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All Journal JURNAL PENELITIAN PERAWAT PROFESIONAL MAHESA : Malahayati Health Student Journal
Pamungkas, Sultan Muhammad Wahyu
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Dentistry Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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Penerapan Posisi Head Up 300 pada Pasien Post Craniotomy Meningioma terhadap Penurunan Tekanan Intrakranial: Studi Kasus Pamungkas, Sultan Muhammad Wahyu; Budi, Arif Wahyu Setyo; Nurfaizah, Nurfaizah
Jurnal Penelitian Perawat Profesional Vol 6 No 6 (2024): Desember 2024, Jurnal Penelitian Perawat Profesional
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jppp.v6i6.3432

Abstract

Post Craniotomy merupakan sebuah tindakan pembedahan yang dilakukan pada pasien yang terdiagnosis adanya tumor otak (Meningioma). Kondisi tumor otak ini sangat berbahaya jika tidak segera dilakukan tindakan operasi yang dapat menyebabkan terjadinya penurunan kesadaran bahkan mengancam nyawa pasien. Studi kasus ini bertujuan untuk mengetahui pengaruh dari implementasi pemberian posisi head up 30 derajat terhadap penurunan tekanan intrakanial pada pasien post craniotomy meningioma. Metode dalam studi kasus ini menggunakan pendekatan deskriptif, observasi dan dokumentasi yang dikelola pada ruang ICU RSUD Tjirowardojo Purworejo yang terdiagnosa post craniotomy meningioma. Sampel dalam studi kasus ini menggunakan responden Ny. S yang sesuai dengan karakteristik dari sampel yang digunakan. Hasil studi kasus ini menunjukkan bahwa dengan memberikan posisi head up 30 derajat, pemantauan hemodinamik pasien, dan pemberian obat-obatan dapat menurunkan adanya tanda dan gejala peningkatan tekanan intrakanial pada pasien.
Penanganan pada Pasien IDCM yang Mengalami Hiperkalemia Berat: Case Report Putri, Saparingga Dasti; Tambunan, Natalia; Pen, Inggried Angelica Valentina Wiliyams; Pamungkas, Sultan Muhammad Wahyu; Priambodo, Ayu Prawesti; Mirwanti, Ristina
MAHESA : Malahayati Health Student Journal Vol 6, No 3 (2026): Volume 6 Nomor 3 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i3.21125

Abstract

ABSTRACT Idiopathic Dilated Cardiomyopathy (IDCM) is a condition that can trigger malignant arrhythmias such as Ventricular Tachycardia (VT) and Ventricular Fibrillation (VF), especially if accompanied by severe hyperkalemia. The combination of myocardial dysfunction, impaired renal function, and electrolyte imbalance increases the risk of fatal complications such as cardiac arrest. Objective: To report the case management of an IDCM patient with severe hyperkalemia causing malignant arrhythmias, and to highlight the importance of a multidisciplinary approach in its clinical management. This case study uses a single case approach to a 52-year-old patient treated in the Intensive Care Unit. Data were collected through direct assessment, observation, and supporting examinations during five days of intensive care. The patient experienced severe hyperkalemia (K+ 7.05 mmol/L) which triggered VT and progressed to VF. Emergency management was carried out with ACLS, administration of calcium gluconate, insulin-dextrose, Kalitake, sodium bicarbonate, and inotropic support. Hemodialysis was performed to treat persistent electrolyte disturbances. The patient showed significant clinical improvement after comprehensive intervention. Management of severe hyperkalemia in IDCM patients requires coordination between cardiology, nephrology, and intensive care specialists. Rapid intervention, aggressive medical therapy, and hemodialysis can save lives and restore patient stability. Keywords: Nursing Care, Idiopathic Dilated Cardiomyopathy (IDCM), Hyperkalemia.  ABSTRAK Idiopathic Dilated Cardiomyopathy (IDCM) merupakan kondisi yang dapat memicu aritmia maligna seperti Ventricular Tachycardia (VT) dan Ventricular Fibrillation (VF), terutama jika disertai dengan hiperkalemia berat. Kombinasi antara disfungsi miokard, gangguan fungsi ginjal, dan ketidakseimbangan elektrolit memperbesar risiko komplikasi fatal seperti cardiac arrest.Tujuan: Melaporkan penanganan kasus pasien IDCM dengan hiperkalemia berat yang menyebabkan aritmia maligna, serta menyoroti pentingnya pendekatan multidisiplin dalam manajemen klinisnya.Studi kasus ini menggunakan pendekatan single case terhadap pasien berusia 52 tahun yang dirawat di ICU. Data dikumpulkan melalui pengkajian langsung, observasi, dan pemeriksaan penunjang selama lima hari perawatan intensif. Hasil: Pasien mengalami hiperkalemia berat (K+ 7.05 mmol/L) yang memicu VT dan berkembang menjadi VF. Penanganan darurat dilakukan dengan ACLS, pemberian kalsium glukonat, insulin-dextrose, Kalitake, natrium bikarbonat, dan dukungan inotropik. Hemodialisis dilakukan untuk mengatasi gangguan elektrolit yang persisten. Pasien menunjukkan perbaikan klinis signifikan setelah intervensi komprehensif. Penanganan hiperkalemia berat pada pasien IDCM membutuhkan koordinasi antara spesialis kardiologi, nefrologi, dan perawatan intensif. Intervensi cepat, terapi medis agresif, serta hemodialisis dapat menyelamatkan nyawa dan memulihkan stabilitas pasien. Kata Kunci: Asuhan Keperawatan, Idiopathic Dilated Cardiomyopathy (IDCM), Hiperkalemia.
The Impact of Virtual Reality Simulation Training on Nurses’ Competency in Disaster Management: A Scoping Review Pranata, Yodha; Winara, Winara; Susanti, Vera; Pratitis, Izzati Adha; Peni, Inggried Angelica Valentina Wiliyams; Maryam, Nina; Pamungkas, Sultan Muhammad Wahyu; Trisyani, Yanny
MAHESA : Malahayati Health Student Journal Vol 6, No 3 (2026): Volume 6 Nomor 3 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i3.21312

Abstract

ABSTRACT Nurses are pivotal in disaster management. Suboptimal preparedness impairs response, communication, and patient safety. Virtual Reality-based training can enhance clinical skills, readiness, and decision-making, yet logistical and cost challenges persist. This scoping review aims to map evidence on the impact of Virtual Reality Simulation (VRS) in enhancing nurses’ competency in disaster management. The methodology framework utilized in this scoping review followed Arksey and O'Malley's approach. Literature was systematically searched across PubMed, Scopus, and EBSCO using keywords: nurses, Virtual Reality Simulation Training, nurses’ competency, and disaster management. Inclusion criteria required English-language publications. All extracted data were systematically tabulated to facilitate comparative analysis and thematic synthesis. A total of 164 articles were identified, nine studies met the inclusion criteria and were selected for this scoping review. VR training consistently improved nurses’ disaster preparedness, response capabilities, knowledge, and satisfaction compared to traditional methods. Immersive VR enhances practical skills, decision-making, and engagement, despite challenges related to resources, infrastructure, and standardization. VR-based training enhances nurses’ disaster preparedness more effectively than conventional methods. Despite its benefits, the widespread adoption of this approach is hindered by infrastructure, resource demands, and technical limitations in developing realistic simulation environments. Keywords: Disaster Management, Disaster Preparedness, Nurse’s Competency, Simulation Training, Virtual Reality.
Co-Authors Budi, Arif Wahyu Setyo Maryam, Nina Nurfaizah Nurfaizah, Nurfaizah Pen, Inggried Angelica Valentina Wiliyams Peni, Inggried Angelica Valentina Wiliyams Pranata, Yodha Pratitis, Izzati Adha Priambodo, Ayu Prawesti Ristina Mirwanti, Ristina Saparingga Dasti Putri Suprabowo, Imam Susanti, Vera Tambunan, Natalia Winara, Winara Wulan Noviani Yanny Trisyani