GAMBARAN ASUHAN KEPERAWATAN GAWAT DARURAT PADA PASIEN INFARK MIOKARD AKUT DENGAN NYERI AKUT DI RUANG EMERGENCY CARDIO RSUP SANGLAH DENPASAR
DOI:
https://doi.org/10.47859/jmu.v5i1.148Keywords:
Acute Myocardial Infarction (AMI), Acute Pain, Nursing Care, EmergencyAbstract
Background: Acute Myocardial Infarction (AMI) is one of the cardiovascular emergency diseases. Sign and symptoms of IMA that accompany patients coming to the Emergency departement are complaints of chest pain. Chest pain is a response that occurs due to ischemia in the myocardium. Untrained chest pain more than 20 minutes will result in irreversible heart damage. The purpose of this case study is to describe emergency nursing care in IMA patients with acute pain Method: The method used in this paper is a descriptive method with a case study approach that describes the condition of two patients suffering from IMA with acute pain. The tools used to retrieve data are IMA observation checklists and interview sheets. The data obtained were analyzed by narrating the data obtained and comparing the existing theory. Results: The IMA patient assessment focused on secondary assessment of SAMPLE. Chest pain data were obtained through the PQRST approach so that the main nursing problem was acute pain. Emergency measures performed by oxygen delivery as nonpharmacological therapy and administration of anti-ischaemic therapy and fibrinolysis as pharmacological therapy. Evaluation performed for 1 hour, the results obtained are reduced pain from the weight scale to moderate. Conclusions: As emergency nurses should pay attention to IMA assessment on secondary assessment and collaborate with medical personnel to reduce pain with pharmacological and nonpharmacological therapies.
Keywords: Acute Myocardial Infarction (AMI); Acute Pain; Nursing Care; Emergency
References
American Heart Association. (2014). Guideline for The Management of Patients With Non-ST Elevation Acute Coronary Syndromes. Diperoleh 3 Juni 2017, dari http://www.scai.org/Assets/4ccf26e9-fef2-4e86-aa7a7ce52d057851/635470782619400000/09016-executivesummary-pdf aha 2014
Corwin, E. (2009). Buku Saku Patofisiologi. (3th ed). Jakarta : EGC
Emergency Nursing Association. (2007). Emergency Nursing Care Curiculum. (6th ed). USA : WB. Saunders Company
Emergency Nursing Association. (2010). Emergency Nursing Principal and Practice. (6th ed). USA : WB. Saunders Company
Emergency Nursing Association. (2013). Emergency Care. (7th ed). USA : WB.Saunders Company
Hidayat, A. (2009) Metode Penelitian Keperawatan dan Teknik Pengumpulan Data. Jakarta : Salemba Medika
Kartikawati, D. (2012). Buku Ajar Dasar-Dasar Keperawatan Gawat Darurat. Jakarta: Salemba Medika
Kementrian Kesehatan RI. (2012). Data dan Informasi Kesehatan situasiKesehatan Penyakit tidak Menular. Jakarta : KEMENKES RI
Kementrian Kesehatan RI. (2014). Pusat Data dan Informasi Kementrian Kesehatan. Jakarta : KEMENKES RI
Kowalak,J., Welsh, W., & Mayer, B. (2011). Buku Ajar Fatofisiologi. Jakarta :EGC
Kozier., Erb., Berman., & Synder. (2010). Buku Ajar Fundamental Keperawatan. Jakarta: EGC
Muttaqin, A. (2009). Asuhan Keperawatan Klien dengan Gangguan Sistem Kardiovskuler. Jakarta: Salemba Medika
NANDA. (2015). Diagnosis Keperawatan Definisi dan Klasifikasi 2015-2027. Jakarta : EGC
NIC. (2016). Nursing Intervensions Classification (5th ed). UK : Elsevier Inc
NOC. (2016). Nursing Outcome Classification (5th ed). UK : Elsevier Inc
Nursalam. (2014). Manajemen Keperawatan: Aplikasi Dalam Praktik Keperawatan Profesional. Jakarta: Salemba Medika
Nursalam. (2013). Metodelogi Penelitian Ilmu Keperawatan. Jakarta : SalembaMedika
Perhimpunan Dokter Spesialis Kardiovaskular Indonesia (PERKI). (2015). Pedoman Tatalaksana Sindrom Koroner Akut. Jakarta : PERKI
European Society of Cardiology. (2015). Guidelines for the Management of AcuteCoronary Sydromes in Patient Presenting Without Persistent ST-SegmentEevation. Diperoleh 03 Juni 2017, darihttps://academic.oup.com/eurheartj/article/37/3/267/2466099/2015-ESCGuidelines-for-the-management-of-acute
Schreiber, D. (2017). Cardiac Markers. Diperoleh 20 Juni 2017, darihttp://emedicine.medscape.com/article/811905-overview
Setiadi. (2013). Konsep dan Praktik Penulisan Riset Keperawatan. Yogyakarta :Graha Ilmu
Silbernagl, S. & Lang, F. (2006). Teks dan Atlas Berwarna Patofisologi. Jakarta : EGC
Sudoyo, A.,Setiyohadi, B., Alwi, I., Simadibrata, M., Setiati, S. Buku Ajar Ilmu Penyakit Dalam. Jakarta : Interna Publishing
Sugiyono. (2012). Metode Penelitian Bisnis. Bandung :Alfabeta
Yudianto., Khoirunnisa, N., Novitasari, RA. (2015). Assessment Nyeri. CDK, 226 (42), 214-234
Zafari, M. (2017) Myocardial Infarction. Diperoleh 25 Maret 2017, darihttp://emedicine.medscape.com/article/155919-overview
Zakiyah, A. (2015). Nyeri Konsep dan Penatalakasanaan dalam PraktikKeperawatan Berbasis Bukti. Jakarta : Salemba Medika
