ASUHAN KEPERAWATAN PADA AN. CZ DENGAN PNEUMONIA BERAT DAN GAGAL NAPAS DI RUANG PICU RUMAH SAKIT UMUM DAERAH dr. ZAINOEL ABIDIN BANDA ACEH

Abstract

Pneumonia, often called the forgotten pandemic, is one of
the highest causes of death in children under the age of 5
with a mortality rate of 14%. Globally, pneumonia is the 7th
leading cause of death. In Indonesia, pneumonia is the second
leading cause of death after diarrhea in children under five.
If pneumonia not treated immediately, it will lead to other
complications such as hypotension and shock, atelectasis,
pleural effusion, lung abscess, respiratory failure and even
death. This research design is a case study that aims to
identify nursing care in children with pneumonia. Based on
the results of the assessment and physical examination, the
nursing problems established in this case study were impaired
gas exchange, impaired spontaneous ventilation, ineffective
airway clearance, ineffective peripheral perfusion, decreased
cardiac output, and nutritional deficits. The implementation
carried out is monitoring vital signs, monitoring respiration,
and level of consciousness, performing suction periodically,
providing inhalation therapy, positioning the child semi
fowler, changing the patient's position every 2 hours, checking
peripheral circulation, monitoring fluid intake and output,
and monitoring nutrition. Nursing evaluation that has been
carried out for 3 days of treatment found that gas exchange
disorders are partially resolved, spontaneous ventilation
disorders are partially resolved, airway clearance is partially
resolved, ineffective peripheral perfusion is partially
resolved, decreased cardiac output has not been resolved, and
nutritional deficits are partially resolved. It is hoped that
health workers can provide nursing care to children based on
evidence-based practice (EBP).