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Studi Kasus Resiko Perfusi Serebral Tidak Efektif pada Pasien Intracerebral Hemorrhage (ICH) RSUD Gunung Jati Pujiyana, Pujiyana; Syaripudin, Ahmad; Rahmatullah Hidayat, Lalu; Herlina, Herlina; Rahayu Okta , Ira
Jurnal Global Ilmiah Vol. 1 No. 9 (2024): Jurnal Global Ilmiah
Publisher : International Journal Labs

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55324/jgi.v1i9.87

Abstract

Intracerebral Hemorrhage (ICH) merupakan kondisi yang mengancam jiwa sehingga harus segera mendapatkan penanganan yang tepat dan intensif untuk mencegah timbulnya komplikasi dan mengurangi angka kematian. Intracerebral Hemorrhage (ICH) disebabkan oleh terjadinya perdarahan di otak. Secara khusus, perdarahan intraserebral terjadi di dalam jaringan otak. Hal ini dapat terjadi akibat riwayat medis masa lalu seperti hipertensi, riwayat konsumsi alkohol berat, obesitas, dan berada dalam rentang lanjut usia. Perdarahan yang terjadi di otak menyebabkan penurunan dan hilangnya fungsi otak akibat gangguan suplai darah beserta oksigen ke otak. Hal ini terjadi ketika gumpalan darah menghalangi aliran darah di pembuluh darah arteri atau ketika pembuluh darah pecah, yang kemudian mengganggu aliran darah ke area otak, akhirnya hal tersebut dapat menyebabkan terjadi gangguan metabolisme otak dan menyebabkan gangguan keperawatan yang berupa gangguan ketidakefektifan perfusi jaringan serebral. Perfusi jaringan serebral adalah penurunan sirkulasi jaringan otak yang dapat mengganggu kesehatan
Penggunaan Alat Pelindung Diri (Handscoon) Sebagai Upaya Dalam Pencegahan Infeksi Nosokomial Di Rumah Sakit Sumber Kasih Kota Cirebon Herlina; Syaripudin, Ahmad; Pujiyana; Rahayu Okta, Ira; Rahmatullah Hidayat, Lalu
MEJORA Medical Journal Awatara Vol 2 No 2 (2024): APRIL
Publisher : Awatara Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61434/mejora.v2i2.153

Abstract

The hospital is a place for providing health services that have quality in accordance with predetermined standards, one of which is by carrying out infection prevention and control (PPI) efforts. The purpose of this study was to determine the prevention of nosocomial infections from the use of personal protective equipment (PPE). The method in this study uses a qualitative approach with case studies as the main method. Data collected through interviews, documentation, analysis. The results of the SWOT analysis of the availability of personal protective equipment in hospitals, nurse motivation are very influential in infection prevention, discipline and awareness of officers are influenced by the length of work. It can be concluded in this study, that the prevention of nosocomial infections is closely related to nurses' compliance in the use of personal protective equipment (PPE) as a form of compliance, discipline, and protection from infections in the hospital
Pemberian Oksigen Dan Posisi Semi Flower Dalam Mengatasi Gangguan Pola Napas Pada Pasien Nstemi Rsud Waled Kabupaten Cirebon Rahmatullah Hidayat, Lalu; Syaripudin, Ahmad; Pujiyana; Rahayu Okta, Ira; Herlina
MEJORA Medical Journal Awatara Vol 2 No 2 (2024): APRIL
Publisher : Awatara Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61434/mejora.v2i2.154

Abstract

NSTEMI is a clinical syndrome resulting from blockage of coronary arteries, either intermittent or permanent due to rupture of atherosclerotic plaque. NSTEMI is usually caused by severe narrowing of the coronary arteries and blockage of the coronary arteries is characterized by chest pain and shortness of breath, thereby reducing oxygen saturation and increasing the respiratory rate. Data (World Health Organization, 2018) shows that the incidence of ST elevation Mycardial Infaction (STEMI) is decreasing, while the incidence of Non-ST Elevation Mycardial Infaction is increasing. Data shows that 5 million people experience STEMI, and 4 million people experience NSTEMI. Objective: This study is to determine the application of giving the semi-Fowler position and oxygen to NSTEMI patients at Waled Hospital, Cirebon. Method: The method used in this writing is a case study using a nursing process approach to 1 Non ST Elevation Myocardial Infarction (N-STEMI) patient. Results: The results of the application showed that before being given the semi-Fowler position and oxygen, the oxygen saturation was 94% and the respiratory rate was 25x/minute in the abnormal category. Meanwhile, after applying the semi-fowler's position and oxygen, the patient's respiratory rate decreased by 16-20x/minute and oxygen saturation was 97%-99% in the normal category. Conclusion: The results of the application after being given the semi-fowler's position and oxygen to the patient showed an increase in oxygen saturation and decreased respiratory rate