ST-ELEVASI MIOCARD INFARK DAN KETOASIDOSIS DIABETIKUM : SEBUAH STUDI KASUS DENGAN PENDEKATAN PROSES KEPERAWATAN

Authors

  • Ismail Fahmi Poltekkes kemenkes jambi
  • Musaddad Kamal Universitas Faletehan
  • Hermin Esti Dianingtyas Rumah Sakit Jantung dan Pembuluh Darah Harapan Kita Jakarta

DOI:

https://doi.org/10.47522/jmk.v4i2.143

Keywords:

Nursing management, Ketoasidosis diabetikum, STEMI, Nursing care

Abstract

Pendahuluan: Ketoasidosis diabetikum (KAD) diabetikum diketahui memiliki hubungan dengan prognosis  ST Elevation Miocardial Infact (STEMI). Peningkatan kejadian gagal jantung, shock hingga terjadinya kematian. Perawat memiliki peran penting kolaboratif dalam penanganan kejadian tersebut. Penelitian ini bertujuan untuk menggambarkan manajemen asuhan keperawatan pada pasien STEMI dengan KAD.

Metode: Pendekatan studi kasus digunakan dalam penelitian ini, dimana kami mempersembahkan penerapan asuhan keperawatan pada pasien laki-laki usia 42 tahun STEMI disertai ketoasidosis diabetikum di ruang gawat darurat.

Hasil: Pada studi kasus ini pasien masuk unit gawat darurat dengan keluhan nyeri dada khas dan kondisi hiperglikemia. Hasil pemeriksaan penunjang pasien didiagnosis mengalami STEMI ekstensif anterior onset 3 jam dan KAD, diagnosis keperawatan pada pasien tersebut adalah nyeri akut  (NANDA: 00132) dan defisit volume cairan (NANDA 00027), intevensi yang digunakan Manajemen nyeri dengan aktivitas tindakan tatalaksana STEMI dan manajemen cairan dengan aktivitas tindakan tatalaksana cairan KAD sesuai dengan evidence based practice. Evaluasi hasil tindakan keperawatan, nyeri masih terajdi dan defisit volume cairan tidak terjadi.

Kesimpulan: STEMI dan KAD merupakan dua kasus gawatdarurat yang memerlukan penanganan yang tepat, manajemen keperawatan dengan pendekatan interpersonal kolaborasi dan berbasis evidence based practice  pada pasien pada kasus tersebut dapat meningkatkan outcome yang baik bagi pasien.

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Published

2022-07-09