ASUHAN KEPERAWATAN KEGAWAT DARURATAN PADA PASIEN HIPERTENSI EMERGENCY DENGAN MASALAH KEPERAWATAN RESIKO KETIDAKEFEKTIFAN PERFUSI JARINGAN SEREBRAL

Muttaqin, Darul (2025) ASUHAN KEPERAWATAN KEGAWAT DARURATAN PADA PASIEN HIPERTENSI EMERGENCY DENGAN MASALAH KEPERAWATAN RESIKO KETIDAKEFEKTIFAN PERFUSI JARINGAN SEREBRAL. D3 thesis, Universitas Muhammadiyah Ponorogo.

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Abstract

ABSRTRACT
EMERGENCY NURSING CARE FOR PATIENTS WITH HYPERTENSION EMERGENCY WITH NURSING PROBLEMS AT RISK OF INEFFECTIVE CEREBRAL PERFUSION
(Case Study at Dr. Hardjono Ponorogo Regional Hospital)

By:
Darul Muttaqin
NIM 22613542
Hypertensive emergency is a life-threatening medical emergency caused by a drastic increase in blood pressure that can cause damage to target organs, including the brain. One nursing problem that can arise is the risk of ineffective cerebral perfusion due to uncontrolled blood pressure.
Methods: This research is a case study of nursing care for Mrs. K using a nursing process approach, including assessment, diagnosis, intervention planning based on the Indonesian Nursing Intervention Standards (SIKI), implementation, and evaluation over 3 days (June 18–20, 2025) in the Emergency Department and Seruni Ward of Dr. Harjono Ponorogo Regional Hospital.
Results: After implementing the intervention, which involved managing increased intracranial pressure, observations showed a gradual improvement in the client's condition. Blood pressure decreased from 240/145 mmHg to 180/110 mmHg, headaches decreased, consciousness improved, and no signs of further increased intracranial pressure were found. The client was also able to follow deep breathing instructions and appeared calmer.
Discussion: Interventions such as 30° head-up position, oxygen administration, pharmacological therapy (furosemide, ranitidine, ondansetron), and non-pharmacological measures such as deep breathing therapy have been shown to be effective in managing hypertensive emergencies. Appropriate nursing implementation based on the SIKI has been shown to prevent neurological complications and significantly improve cerebral perfusion.
Keywords: Hypertensive emergency, cerebral perfusion, high blood pressure, emergency nursing, SIKI.

Item Type:	Thesis (D3)
Uncontrolled Keywords:	Hypertensive emergency, cerebral perfusion, high blood pressure, emergency nursing, SIKI.
Subjects:	R Medicine > R Medicine (General) R Medicine > RT Nursing
Divisions:	Faculty of Health Sciences
Depositing User:	Darul Muttaqin
Date Deposited:	15 Sep 2025 06:59
Last Modified:	28 Oct 2025 06:06
URI:	https://eprints.umpo.ac.id/id/eprint/18241

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