Repository Poltekkes Kemenkes Palangka Raya

Anjaryani, Cindy Aprilia (2026) Asuhan keperawatan pada pasien An. I dengan kejang di Ruang Tulip IIA RSUD Ulin Banjarmasin. Karya Tulis Ilmiah thesis, Poltekkes Kemenkes Palangka Raya.

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Abstract

Latar Belakang: Kejang merupakan kegawatdaruratan neurologis akibat aktivitas listrik otak yang abnormal sehingga dapat menimbulkan gangguan kesadaran dan fungsi motorik. Pada anak, kejang dapat dipicu oleh hipoksia akibat tenggelam yang berisiko menyebabkan edema serebri dan ensefalopati apabila tidak segera ditangani. Tujuan: Mendeskripsikan asuhan keperawatan pada pasien An. I dengan diagnosis medis kejang di Ruang Tulip IIA RSUD Ulin Banjarmasin. Metode: Penelitian ini menggunakan metode studi kasus dengan pendekatan proses keperawatan yang meliputi pengkajian, diagnosis, intervensi, implementasi, dan evaluasi. Data diperoleh melalui wawancara, observasi, pemeriksaan fisik, dan dokumentasi medis. Hasil: Pasien mengalami penurunan kesadaran, riwayat kejang setelah tenggelam, kelemahan ekstremitas, dan hipertermia. Diagnosis keperawatan yang ditegakkan yaitu penurunan kapasitas adaptif intrakranial dan hipertermia. Intervensi meliputi pemantauan status neurologis, tanda vital, mempertahankan jalan napas, pemberian kompres hangat, kolaborasi terapi medis, dan edukasi keluarga. Setelah tiga hari perawatan, kondisi pasien membaik ditandai peningkatan kesadaran, penurunan suhu tubuh, dan tidak terjadi kejang berulang. Kesimpulan: Asuhan keperawatan yang komprehensif membantu mengatasi masalah keperawatan serta mendukung pemulihan pasien. Kata Kunci: Kejang, Tenggelam, Hipoksia, Penurunan Kapasitas Adaptif Intrakranial, Hipertermia Background: Seizures are neurological emergencies caused by abnormal electrical activity in the brain, which can result in impaired consciousness and motor function. In children, seizures may be triggered by hypoxia secondary to drowning, which can lead to cerebral edema and hypoxicischemic encephalopathy if not treated promptly. Objective: To describe the nursing care provided to patient An. I with a medical diagnosis of seizures in Tulip IIA Ward, Ulin Regional Hospital, Banjarmasin. Methods: This study employed a case study design using the nursing process approach, including assessment, nursing diagnosis, intervention, implementation, and evaluation. Data were collected through interviews with the patient's family, observation, physical examination, medical record review, and nursing documentation. Results: The patient presented with decreased level of consciousness, a history of seizures following a drowning incident, extremity weakness, and hyperthermia. The nursing diagnoses established were decreased intracranial adaptive capacity and hyperthermia. Nursing interventions included neurological and vital sign monitoring, airway maintenance, warm compress therapy, collaborative medical management, and family education. After three days of nursing care, the patient's condition improved, as evidenced by increased level of consciousness, reduced body temperature, and the absence of recurrent seizures. Conclusion: Comprehensive nursing care effectively addressed the patient's nursing problems and supported the recovery process. Keywords: Seizures, Drowning, Hypoxia, Decreased Intracranial Adaptive Capacity, Hyperthermia.

Item Type:	Laporan Tugas Akhir / Karya Tulis Ilmiah / Laporan Praktek Asuhan Kebidanan (stase 9) / Skripsi / Tesis / Disertasi (Karya Tulis Ilmiah)
Uncontrolled Keywords:	Kejang, Tenggelam, Hipoksia, Penurunan Kapasitas Adaptif Intrakranial, Hipertermia.
Subjects:	11 MEDICAL AND HEALTH SCIENCES > 1110 Nursing > 111008 Nursing Practical 11 MEDICAL AND HEALTH SCIENCES > 1110 Nursing > 111009 Nursing Research 11 MEDICAL AND HEALTH SCIENCES > 1110 Nursing
Divisions:	Jurusan Keperawatan > Program Studi Diploma III Keperawatan
Depositing User:	Mahasiswa D3 Keperawatan
Date Deposited:	24 Jul 2026 04:18
Last Modified:	24 Jul 2026 04:18
URI:	http://repo.polkesraya.ac.id/id/eprint/3668

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