Asuhan Keperawatan Pasien Syok Sepsis e.c Severe Intraabdominal Infection: Studi Kasus

Main Article Content

Isra Nanda Annisa
Irfanita Nurhidayah
Jufrizal

Abstract

This case study described the nursing care among septic shoe patients et causa sareve intra-abdominal infection in the Intensive Care Unit of Dr. Zainoel Abidin Regional Public Hospital of Banda Aceh. The results of the case study show that nursing problems in patients are gas exchange disorders, risk of ineffective renal perfusion, risk of aspiration, risk of electrolyte balance and hyperthermia. The interventions that have been carried out include mechanical ventilation management, fluid management, prevention of aspiration, fluid management, hyperthermia management, positioning, and collaboration in administering pharmacology. After several days of treatment, things got worse on the last day of treatment, the patient experienced a fever of up to 40.5°C. The management provided was cold compresses on the forehead and axillae, therapy given paracetamol 1 g/8 hours. In gas exchange, the patient is still using an AC/VC ventilator, the intake-output number is decreasing from 3 days ago. Recommendations for nurses and medical personnel in the ICU to be able to provide management according to the SOP and be more careful in handling patients with sepsis to avoid other complications.

Article Details

How to Cite
Asuhan Keperawatan Pasien Syok Sepsis e.c Severe Intraabdominal Infection: Studi Kasus. (2025). IJM: Journal of Multidisiplinary, 3(2). https://ojs.csspublishing.com/index.php/ijm/article/view/100
Section
Articles

How to Cite

Asuhan Keperawatan Pasien Syok Sepsis e.c Severe Intraabdominal Infection: Studi Kasus. (2025). IJM: Journal of Multidisiplinary, 3(2). https://ojs.csspublishing.com/index.php/ijm/article/view/100

References

Agnello, L., Giglio, R. V., Bivona, G., Scazzone, C., Gambino, C. M., Iacona, A., Ciaccio, A. M., Sasso, B. Lo, & Ciaccio, M. (2021). The value of a complete blood count (Cbc) for sepsis diagnosis and prognosis. Diagnostics, 11(10), 1–19. https://doi.org/10.3390/diagnostics11101881

Arif, S. K., Rukka, A. B. S., & Wahyuni, S. (2017). Comparison of neutrophils-lymphocytes ratio and procalcitonin parameters in sepsis patient treated in intensive care unit Dr. Wahidin hospital, Makassar, Indonesia. Journal of Medical Sciences (Faisalabad), 17(1), 17–21. https://doi.org/10.3923/jms.2017.17.21

Azizah (2020). Comparison of Neutrophils-Lymphocytes Ratio and Procalcitonin Parametersin Sepsis Patient Treated in Intensive Care Unit Dr. Wahidin Hospital. J Med Sci, 17–21.

Caterino (2022). Master Plan Kedaruratan Medik. Binarupa Aksara Publisher.

Dondorp, A. M., Dünser, M. W., & Schultz, M. J. (2019). Ventilatory Support of Patients with Sepsis or Septic Shock in Resource-Limited Settings. Springer Nature Switzerland AG

Fajrina, N., Marlina, & Fikriyanti. (2022). Asuhan Keperawatan Pada Acute Respiratory Failure Et Causa Uremic Encephalopathy Di ICU: Studi Kasus. JIM FKep, 1(4), 1–9. https://jim.usk.ac.id/FKep/article/view/23480%0Ahttps://jim.usk.ac.id/FKep/article/viewFile/23480/11419

Grimaldi, D., Hraiech, S., Boutin, E., Lacherade, J. Dkk (2018). Hypoxemia in the ICU: prevalence, treatment, and outcome. Annals of Intensive Care, 8(1). https://doi.org/10.1186/s13613-018-0424-4

Han, D., Zhang, L., Zheng, S., Dkk (2021). Prognostic Value of Blood Urea Nitrogen/Creatinine Ratio for Septic Shock: An Analysis of the MIMIC-III Clinical Database. BioMed Research International, 2021. https://doi.org/10.1155/2021/5595042

Herzum. (2014). Inflammatory Markers in SIRS, Sepsis and Septic Shock. Curr Med Chem.

Jung, S. Y., Kim, H., Park, S., Dkk (2016). Electrolyte and mineral disturbances in septic acute kidney injury patients undergoing continuous renal replacement therapy. Medicine (United States), 95(36). https://doi.org/10.1097/MD.0000000000004542

Martin, P. (2023). 6 Sepsis Nursing Care Plan. Nurseslabs. https://nurseslabs.com/sepsisnursing-care-plans

Naura, C. C., Aklima, & Amni, R. (2023). Studi Kasus Pada Pasien Dengan Congestive Heart Failure (Chf). Jurnal Penelitian Perawat Profesional, 6(5474), 1333–1336.

PPNI. (2018). Standar Diagnosis Keperawatan Indonesia. Definisi dan Indikator Diagnostik (Edisi 1). Jakarta: DPP PPNI.

Putra, I. M. P. (2018). Pendekatan Sepsis dengan Skor SOFA. CDK Journal, 45(8), 606– 609.

Rumbus, Z., & Garami, A. (2019). Fever, hypothermia, and mortality in sepsis*: Comment on: Rumbus Z, Matics R, Hegyi P, Zsiboras C, Szabo I, Illes A, Petervari E, Balasko M, Marta K, Miko A, Parniczky A, Tenk J, Rostas I, Solymar M, Garami A. Fever is associated with reduced, hypothermia. Temperature, 6(2), 101–103. https://doi.org/10.1080/23328940.2018.1516100

Wangen, T et al., (2019). Preventing Aspiration Complications: Implementing A Swallow Screening Tool. Clinical Nurse Specialist, 33(5), 237-243

Wasserman, D. D., Creech, J. A., & Healy, M. (2023). Cooling Techniques for Hyperthermia. StatPearls. https://www.ncbi.nlm.nih.gov/books/NBK459311/

Wirdiyana, D., & Faisal, F. (2021). Tata Laksana Infeksi Intraabdomen Dengan Penyulit Syok Sepsis Dan Acute Kidney Injury. Alami Journal (Alauddin Islamic Medical) Journal, 5(2), 63. https://doi.org/10.24252/alami.v5i2.22182

Yasir, T., Firly, F., & Wahyu, W. (2020). Prevalensi dan Outcome Pasien CRRT di Intensive Care Unit RSUD dr. Zainal Abidin Banda Aceh. Journal of Medical Science, 1(2), 100– 108.