RENITA ANUGRAH WAHYU KINASIH, NIM. 2022030081 (2023) ANALISIS ASUHAN KEPERAWATAN PADA PASIEN POST KRANIOTOMI INTRACEREBRAL HEMORRHAGE DENGAN MASALAH KEPERAWATAN PENURUNAN KAPASITAS ADAPTIF INTRAKRANIAL DI RUANG INTENSIVE CARE UNIT (ICU) RSUD PROF. DR. MARGONO SOEKARJO PURWOKERTO. Karya Ilmiah Akhir thesis, UNIVERSITAS MUHAMMADIYAH GOMBONG.
Preview |
Text
RENITA ANUGRAH WAHYU K. NIM. 2022030081.pdf Download (1MB) | Preview |
Abstract
Background: Diminished intracranial adaptive capacity refers to a disruption in the brain's dynamic mechanisms to compensate for stimuli that reduce its intracranial capacity. Effective management of post-craniotomy cases with intracerebral haemorrhage, involving reduced intracranial adaptive capacity, is essential to enhance patients' hemodynamic condition. Pharmacological therapy often involves providing oxygenation and positioning the patient in a head-up position. Objective: To elucidate the nursing care analysis for post-craniotomy intracerebral haemorrhage patients exhibiting reduced intracranial adaptive capacity. Methods: This study was a descriptive methodology, case study and analysed the administration of oxygenation and a 300-degree head-up position for patients displaying reduced intracranial adaptive capacity. The study took place within the Intensive Care Unit (ICU) of Prof. Dr. Margono Soekarjo Purwokerto Hospital. Results: The nursing problems identified among the five patients in this case study pertained to reduced intracranial adaptive capacity. The interventions employed encompassed pharmacological therapy adhering to recommendations and non-pharmacological methods, namely administering oxygenation and maintaining a head-up position of 300 degrees for 3x24 hours. Additionally, hemodynamic status was monitored before and after the procedure. Among the five patients, all exhibiting reduced intracranial adaptive capacity, a decline in consciousness with a Glasgow Coma Scale (GCS) score of ≤ 13 was noted. Post-procedure, an improvement in consciousness levels and enhanced hemodynamic status were observed. Recommendation: The outcomes of this study offer practical applications for post-craniotomy intracerebral hemorrhage patients grappling with reduced intracranial adaptive capacity. These findings can guide healthcare professionals in devising suitable interventions to optimize patient outcomes.
| Item Type: | Thesis (Karya Ilmiah Akhir) |
|---|---|
| Additional Information: | Podo Yuwono, S.Kep.Ns., M.Kep., CWCS |
| Uncontrolled Keywords: | craniotomy; ICH; head up 300; oxygenation; kraniotomi; ICH; oksigenasi |
| Subjects: | Profesi Ners |
| Divisions: | Prodi Profesi Ners |
| Depositing User: | Desy Setiyawati - |
| Date Deposited: | 28 Nov 2023 04:18 |
| Last Modified: | 28 Nov 2023 04:18 |
| URI: | http://repository.unimugo.ac.id/id/eprint/2957 |
Actions (login required)
 |
View Item |