Arsa, Sandi Alfa Wiga
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Hubungan Pemberian Syringe Pump Norepinephrine dengan Kadar Gula Darah Acak pada Pasien di Ruang ICU RSUD Mardi Waluyo Kota Blitar Prasetya, Yuda Dwi; Arsa, Sandi Alfa Wiga
Journal of Ners and Midwifery Vol 6, No 3 (2019)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v6i3.ART.p283-291

Abstract

Ketidakwaspadaan terhadap kontrol gula pasien yang mendapatkan norepinephrine berakibat perpanjangan masa rawat inap dan perburukan kondisi.Tujuan penelitian adalah menganalisis hubungan pemberian syringe pump norepinephrine dengan kadar gula darah acak pada pasien di ruang ICU RSUD Mardi Waluyo Kota Blitar. Rancangan penelitian menggunakan korelasi dengan pendekatan cross sectional. Populasi dalam penelitian ini adalah semua pasien ICU RSUD Mardi waluyo Kota Blitar yang diberikan syringe pump norepinephrine pada 29 Oktober – 22 November 2018. Jumlah sampel penelitian sebanyak 30 orang dengan menggunakan tehnik pengambilan sampel accidental sampling. Analisa data menggunakan Spearman’s rho. Hasil penelitian menunjukan ada hubungan yang lemah antara pemberian syringe pump norepinephrine dengan kadar gula darah acak pada pasien di ruang ICU RSUD Mardi Waluyo Kota Blitar dengan p value = 0,034 dan rs = 0,389. Norepinephrine dapat meningkatkan tekanan darah pada pasien kritis yang mengalami hipotensi, akan tetapi berakibat meningkatkan kadar gula darah acak, sehingga diharapkan adanya pemantauan kadar gula darah acak pada pasien kritis serta adanya monitoring penggunaan cairan diluent normal saline 0,9% dan  dextrose 5% yang harus disesuaikan dengan kondisi dari pasien yang mendapatkan norepinephrine. Unawareness of blood sugar control in patients receiving norepinephrine resulted in an extended period of hospitalization and worsening conditions. The aim of the study was to analyze the correlation of giving norepinephrine syringe pump and random blood sugar levels of patients in ICU Mardi Waluyo Hospital, Blitar City. The study used correlation design with cross sectional approach. The population in this study was all ICU patients of Mardi Waluyo Hospital Blitar City who were given the norepinephrine syringe pump on 29 October - 22 November 2018. The sample was 30 people taken by using accidental sampling technique. The data analysis used Spearman's. The results showed there was a weak correlation between the administration of norepinephrine syringe pump and random blood sugar levels of patients in the ICU room at Mardi Waluyo Hospital, Blitar City with p value = 0.034 and rs = 0.389. Norepinephrine could increase blood pressure in critical patients who had hypotension, but it resulted in the increase of random blood sugar levels. It is expected to monitor random blood sugar level of critical patients as well as monitoring the use of diluent normal saline 0.9% and dextrose 5% which should be adapted to the conditions of patients who get norepinephrine.
Development of Guide Basic Life Support (BLS) Application Based on Android to Increase Accuracy Compression Ritme And Ventilation to Handling of Out Hospital Cardiac Arrest Wirawan, Candra Adi; Arsa, Sandi Alfa Wiga
Babali Nursing Research Vol 1 No 1 (2020): March
Publisher : Babali Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (274.385 KB) | DOI: 10.37363/bnr.2020.112

Abstract

Introduction: Public health center as first-rate health facilities must be equipped with basic emergency services capability to support optimal health service systems. The ability of nurses in doing a heart massage or BLS is still below 50%. In the management of BLS, increasing the ability of nursing was important to reduce mortality due to cardiac arrest. The purpose of this research was to know the effect of Basic Life Support (BLS) based guide application in handling Out Cardiac arrest (OHCA) Nurse emergency departments Public health center. Methods: This research used the R & D method. Data of stage 1 was collected through a questionnaire of knowledge, attitude and Psychomotor BLS from 50 nurses for application development in stage 2, then conducted trials and evaluation. Phase 2 was conducted by a quasi-experiment method with a simple random sampling technique with 25 respondents in each group. The control group was given the BLS module and the treatment group was given Guide Basic Life Support (BLS) application for 2 weeks. The variables in phase 2 of were the accuracy and speed of resuscitation, measured by a checklist and stopwatch. Results: The result of the research was an application of basic life support (BLS) based on Android. The result for the treatment group showed the precision variable (p = 0,000) and speed (p = 0,000) for the Wilcoxon Test and the precision variable (p = 0,000) and speed (p = 0,000) for Mann U Whitney Test. Conclusion: Basic android basic life support (BLS) application can improve the accuracy and speed of nurses in doing BLS.