ASUHAN KEPERAWATAN GAWAT DARURAT PADA PASIEN GAGAL JANTUNG DENGAN MASALAH KEPERAWATAN PENURUNAN CURAH JANTUNG

Novenda Sari, Fitri (2025) ASUHAN KEPERAWATAN GAWAT DARURAT PADA PASIEN GAGAL JANTUNG DENGAN MASALAH KEPERAWATAN PENURUNAN CURAH JANTUNG. D3 thesis, Universitas Muhammadiyah Ponorogo.

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Abstract

EMERGENCY NURSING CARE FOR HEART FAILURE PATIENTS WITH
DECREASED CARDIAC OUTPUT NURSING ISSUES
(Case Study at the Emergency Department of Dr. Harjono Hospital Ponorogo)
By:
Fitri Novenda Sari
22613521
Heart failure is a progressive condition that leads to a decrease in the heart's
ability to pump blood, triggering a reduction in cardiac output. One of the most
common effects is decreased cardiac output, which can cause shortness of breath and
fatigue. Prompt and appropriate management in the emergency department is crucial
to prevent complications.
This writing uses a case study design with a nursing process approach,
including assessment, diagnosis, intervention, implementation, and evaluation. The
subject is Mr. S, who was hospitalized at Dr. Harjono Regional Hospital, Ponorogo.
The patient arrived with complaints of shortness of breath, palpitations, and
feeling easily fatigued during activities. The nursing diagnosis established is
decreased cardiac output.
The assessment results show that the patient experiences shortness of breath,
tachycardia, and low oxygen saturation. After nursing interventions based on SIKI,
namely cardiac care (I.02075) provided for 4 days, including semi-Fowler's position
and oxygen administration to maintain oxygen saturation and antiarrhythmic
medication (bisoprolol), the patient's condition improved. This was indicated by the
consistent application of the semi-Fowler's position, which helped with lung
expansion, reduced central venous pressure, and decreased cardiac afterload. There
was an increase in oxygen saturation from 89% to 96%, a reduction in respiratory
rate from 30 breaths per minute to 22 breaths per minute, and a decrease in
complaints of shortness of breath. These results align with the theory that nursing
approaches can directly influence comfort and recovery from decreased cardiac
output.
Keywords: heart failure, decreased cardiac output, emergency nursing

Item Type:	Thesis (D3)
Uncontrolled Keywords:	Keywords: heart failure, decreased cardiac output, emergency nursing
Subjects:	R Medicine > RT Nursing
Divisions:	Faculty of Health Sciences > Departement of Nursing D3
Depositing User:	Fitri Novenda Sari
Date Deposited:	04 Nov 2025 03:05
Last Modified:	04 Nov 2025 03:05
URI:	https://eprints.umpo.ac.id/id/eprint/17782

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