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All Journal Narra J Journal Nursing Care Jurusan Keperawatan Politeknik Kesehatan Gorontalo
Zuraida, Eli
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Biochemistry, Genetics & Molecular Biology Education Health Professions Immunology & microbiology Medicine & Pharmacology Public Health

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Monitoring the Evolution of ST Elevation Myocardial Infarction (STEMI) Complicated by Total Atrioventricular (AV) Block: A Case Study Zuraida, Eli; Ningrat, Syahrul; Said, Syahrani
Journal Nursing Care Jurusan Keperawatan Politeknik Kesehatan Gorontalo Vol 10, No 2 (2024): JOURNAL NURSING CARE
Publisher : Poltekkes Kemenkes Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52365/jnc.v10i2.1281

Abstract

Background: Myocardial infarction is the necrosis of heart muscle due to a lack of oxygen, often caused by impaired blood flow in the coronary arteries. ST Elevation Myocardial Infarction (STEMI) is characterized by ST-segment elevation, increased cardiac enzymes, and chest pain. Inferior STEMI can lead to arrhythmic complications, such as Atrioventricular (AV) Block, which requires close Electrocardiographic (ECG) and hemodynamic monitoring by nurses. This case report focuses on the ECG evolution of posteroinferior STEMI progressing from sinus rhythm to Total AV Block.Purpose: To present the ECG monitoring of a STEMI patient with AV Block complications.Methods: A case study was conducted on a 47-year-old male who experienced chest pain with an onset of more than 48 hours, demonstrating ECG evolution from sinus rhythm with posteroinferior STEMI to Total AV Block.Results: The patient exhibited significant ECG changes from sinus rhythm with posteroinferior STEMI to total AV Block, necessitating several medical interventions for stabilization. Intensive monitoring and ongoing care were essential to support recovery.Conclusion: Patients with STEMI show characteristic ECG evolution. In inferior STEMI, Total AV Block can occur due to occlusion of coronary arteries, particularly the Right Coronary Artery (RCA). The nurse's role in managing complication risks and ECG monitoring is vital for rapid and effective intervention. Multidisciplinary collaboration is necessary to enhance patient care outcomes.
Cryotherapy on exfoliative cytological changes for oral mucositis in cancer patients undergoing chemotherapy: A randomized control trial Erika, Kadek A.; Mulhaeriah, Mulhaeriah; Miskad, Upik A.; Zuraida, Eli; Sangkala, Moh S.; Magfirah, Ika; Achmad, Harun
Narra J Vol. 5 No. 2 (2025): August 2025
Publisher : Narra Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52225/narra.v5i2.1644

Abstract

Oral mucositis is a common complication of chemotherapy that significantly impacts quality of life and may reduce treatment efficacy. While oral cryotherapy has been widely studied as a preventive intervention due to its cost-effectiveness, safety, and ease of use, most research focused on clinical outcomes without incorporating objective cytological assessments of mucosal changes. The aim of this study was to evaluate the effectiveness of oral cryotherapy in managing chemotherapy-induced mucositis using exfoliative cytology to monitor oral mucosal changes. A single-blinded, randomized controlled trial was conducted involving 50 cancer patients undergoing chemotherapy, who were randomly assigned to either the intervention or control group. The control group (n=25) received standard oral hygiene care, while the intervention group (n=25) received oral cryotherapy in addition to routine oral hygiene. A 20-minute oral cryotherapy was administered twice daily after breakfast (09:00 A.M.) and lunch (01:00 P.M.) for 14 days. This study found a significant reduction in mucositis scores was observed in both groups (p<0.05). However, post-hoc analysis indicated that mucositis severity declined earlier in the cryotherapy group, whereas improvement in the control group was noted only after 14 days. Serial oral mucosal smears analyzed via exfoliative cytology revealed a reduction in inflammatory cells and the absence of coccus microorganisms by days 7 and 14 in the intervention group. In conclusion, this study demonstrated that oral cryotherapy effectively reduces the severity and duration of mucositis and accelerates recovery in cancer patients undergoing chemotherapy. Oral cryotherapy can be applied as a viable alternative to mitigate the severity of oral mucositis in this patient population.
Co-Authors Erika, Kadek A. Harun Achmad, Harun Magfirah, Ika Mulhaeriah, Mulhaeriah Ningrat, Syahrul Said, Syahrani Sangkala, Moh S. Upik A. Miskad, Upik A.