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E Efektivitas Terapi Antihipertensi Pada Kasus Krisis Hipertensi di Instalasi Gawat Darurat RSUD Ulin Banjarmasin Evita Peron Yoewono; Rina Saputri; Rifa’atul Mahmudah
Jurnal Pelayanan Kefarmasian dan Sains Vol 1 No 1 (2020): Journal Of Pharmaceutical Care and Science
Publisher : LPPM Universitas Sari Mulia

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Abstract

ABSTRACT Background: Hypertension crisis is a case of disease that often occurs, if not handled properly will cause comlication and death. This study was conducted to determine effective therapies in dealing with hypertensive crises so as to minimize the occurrence of complication and death in patients experiencing hypertensive crises Method: The research method is a prospective cohort. Data analysis using Pair T-Test and ANOVA, analytic analysis with evidence based medecine principles. Consists of 11 urgent hypertension samples and 9 emergency hypertension samples. Results: The results of the study for the case of hypertension urgency there are 6 therapeutic groups including furosemide, nicardipine, amlodipine, candesartan + amlodipine, clonidine and furosemide + nicardipine, but the therapy used is not in accordance with the guidelines but there are 2 groups of therapies that can reduce blood pressure including furosemide + nicardipine and clonidine, while for the case of emergence hypertension, there are 5 groups of therapies including nicardipine, amlodipine + nicardipine, furosemide, furosemide + candesartan + amlodipine and furosemide + candesartan + amlodipine + clonidine, the result is that nicardipine is a therapy that is in accordance with the guideline and the therapy is in accordance with the guideline and is in accordance with the guideline therapeutic target in lowering blood pressure. Conclusion: The use therapy is not in accordance with the guidelines for patients with hypertensive urgency cases, but is able to lower the patient’s blood pressure, whereas for patients with hypertensive emergencies the effective therapy is nicardipine. Keywords: Blood Pressure, Effectiveness, Hypertensive Crisis, Urgency Hypertension, Emergency Hypertension.
The Effectiveness of Semi Fowler Position 30 Degrees and 45 Degrees on Increasing SPO2 and Respiratory Rate of Lung TB Patients: Literature Review Hifzhi Padliannor; Muhammad Riduansyah; Rifa’atul Mahmudah; Hj Latifah
International Journal of Clinical Inventions and Medical Sciences (IJCIMS) Vol 4 No 2 (2022)
Publisher : Lamintang Education and Training Centre, in collaboration with the International Association of Educators, Scientists, Technologists, and Engineers (IA-ESTE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36079/lamintang.ijcims-0402.368

Abstract

Pulmonary TB is a disease caused by Mycobacterium tuberculosis which attacks the respiratory system and often decreases SPO2. Interventions that can be done to reduce shortness of breath and increase SPO2 are by giving a semi-fowler position. To determine the effectiveness of the semi-Fowler's position on increasing SPO2 and breathing patterns in pulmonary TB patients. Research design literature review. Journal criteria were screened based on literature titles, abstracts and keywords that had been determined and sourced from Biomed Central, DOAJ, Pubmed, Elsevier, and EBSCO HOST identified through the Population, Intervention, Comparation, Outcomes and Study Design (PICOS) system approach. The number of articles used for this literature is 12 journals. Pulmonary TB patients experienced an increase in SPO2 and a decrease in shortness of breath after being given the semi-Fowler position intervention. The results of the analysis showed the effectiveness of the semi-Fowler position to increase SPO2 and reduce shortness of breath in pulmonary TB patients. Health facilities can provide interventions regarding the effectiveness of the semi-Fowler's position to increase SPO2 and reduce shortness of breath, besides that it can also be used as a nursing care intervention program in pulmonary TB patients.