Journal of Applied Nursing and Health
Vol. 4 No. 2 (2022): Journal of Applied Nursing and Health

Nursing of Hypovolemia in Patients with Melena’s Hematemesis: A Case Study

Gracia Christy Fanuel Dian Ayu (Student of Diploma Nusing Program STIKES RS Baptis Kediri, Panjaitan Street 3B, Kediri City, East Java, Indonesia)



Article Info

Publish Date
30 Dec 2022

Abstract

Background: Hematemesis melena is a patient’s condition with black stools or stools caused by upper gastrointestinal bleeding. Hypovolemic patients with hematemesis melena usually experience nausea, vomiting, and diarrhea. This study aims to describe nursing care for hypovolemia in patients with hematemesis melena. Methods: This research method uses a case study design. Data collection started from assessment to evaluation in the Kasuari ward of Simpang Lima Gumul Hospital in December 2021. The hematemesis melena patient was observed or treated for at least two days. Data collection techniques were carried out through interviews, observation, and documentation. Data analysis was carried out using narrative analysis. Results: assessment of Mr. P with the main complaint complaining of vomiting blood for ±10 days, abdominal pain, weakness, black stools for ±10 days, and urinating for five days. The nursing diagnosis in the case of Mr. P is the actual diagnosis with priority hypovolemia related to functional fluid loss (D.0023). Nursing intervention for Mr. P was compiled based on the diagnosis of hypovolemia using pharmacological techniques such as antibiotics. Conclusion: The patient showed a not-so-significant decrease because the patient still had time to vomit blood and bloody stool.

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Journal Info

Abbrev

janh

Publisher

Subject

Biochemistry, Genetics & Molecular Biology Chemistry Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health Veterinary

Description

Journal of Applied Nursing and Health (JANH) (Prefix DOI: 10.55018) has published its first volume with p-ISSN: 2657-1609 (SK LIPI: 0005.26571609/JI.3.1/SK.ISSN/2019.05) in 2019 and e-ISSN: 2809-3208 (SK LIPI 005.28093208/K.4/SK.ISSN/2021.12) in 2021. JANH is a health journal that publishes ...