Institusion
Universitas Kristen Indonesia
Author
Munthe, Marselina Mei Sitina
Subject
Pediatrics
Datestamp
2023-05-30 02:31:43
Abstract :
Dengue Hemoragic Fever merupakan suatu kondisi medis yang ditemukan di
daerah tropis, dan yang disebabkan oleh kontamiasi infeksi dengue pada manusia
akibat gigitan nyamuk aedes aegepty dengan gejala hipertermia, mual muntah dan
tidak nafsu makan berkurang. Angka kejadian Dengue Hemoragic Fever terdapat
39.487 kasus Di DKI Jakarta. Salah satu intervensi mengatasi Hipovolemia adalan
pemberian cairan. Tujuan: Melakukan asuhan keperawatan komprehensif dengan
penerapan pemberian cairan dalam mengatasi Hipovolemia pada pasien Dengue
Hemoragic Fever yang mengalami masalah Hipovolemia penerapan pemberian
cairan Metode: Studi kasus deskriptif dengan pendekatan proses keperawatan
melalui metode wawancara, observasi, dan pemeriksaan fisik. Studi kasus ini
dilakukan pada dua pasien Dengue Hemoragic Fever di RS TK II Moh Ridwan
Meuraksa Jakarta ruangan Lavender pada pasien 1 tanggal 14-16 April 2022 dan
pasien 2 tanggal 26-28 Mei 2022 dengan perawatan 3 hari. Hasil: Sebelum
intervensi pasien 1 trombosit 63ribu/ul, T= 38.9°C, mukosa bibir kering dan
pecah-pecah, wajah pucat dan pasien 2 tromboist 131 ribu/ul, T= 38.7°C, mukosa
bibir kering, wajah pucat. Setelah intervensi pemberian cairan, pasien 1 trombisit
76 ribu/ul T=37.6 °C, mukosa bibir kering dan pecah-peca, pasien pucat, pasien 2
trombosit 159ribu/ul T=37.4°C, mukosa bibir lembab. Pasien 1 kurang berhasil
dikarenakan pasien tidak kooperatif sehingga malas untuk mengkonsumsi air
putih dan sedangkan pasien 2 berhasil karena kooperatif dan banyak
mengkonsumsi air putih. Kesimpulan: Pemberian cairan daapat mengatasi
Hipovolemia pada pasien Dengue Hemoragic Fever selama 3 hari dan di
rekomendasikan untuk perawat dapat menerapkan pemberian cairan dan
motivasikan pasien untuk tetap banyak mengkonsumsi banyak minum air putih./ Dengue Hemorrhagic Fever is a medical condition found in the tropics, and is
caused by contamination of dengue infection in humans due to the bite of the
Aedes aegypti mosquito with symptoms of hyperthermia, nausea, vomiting and
loss of appetite. The incidence of Dengue Hemorrhagic Fever is 39,487 cases in
DKI Jakarta. One of the interventions to overcome hypovolemia is fluid
administration. Objective: To provide comprehensive nursing care with the
application of fluid administration in overcoming Hypovolemia in Dengue
Hemorrhagic Fever patients who experience hypovolemia problems with the
application of fluid administration at TK II Moh Ridwan Meuraksa Hospital,
Jakarta. Methods: Descriptive case study with nursing process approach through
interview, observation, and physical examination methods. This case study was
conducted on two Dengue Hemorrhagic Fever patients at TK II Moh Ridwan
Meuraksa Hospital Jakarta Lavender Room in patient 1 on 14-16 April 2022 and
patient 2 on 26-28 May 2022 with 3 days of treatment. Results: Prior to
intervention, patient 1 had 63 thousand platelets/ul, T= 38.9°C, dry and cracked
lip mucosa, pale face and patient 2 thromboist 131 thousand/ul, T= 38.7°C, dry lip
mucosa, pale face. After the fluid administration intervention, patient 1 had
platelets 76 thousand/ul T=37.6 °C, lip mucosa was dry and cracked, patient was
pale, patient 2 had platelets 159 thousand/ul T=37.4°C, lip mucosa was moist.
Patient 1 was less successful because the patient was not cooperative so he was
lazy to consume water and while patient 2 was successful because he was
cooperative and drank a lot of water. Conclusion: Giving fluids can overcome
Hypovolemia in Dengue Hemorrhagic Fever patients for 3 days and it is
recommended for nurses to apply fluids and motivate patients to keep drinking
lots of water.