ASUHAN KEPERAWATAN PADA Ny.A DENGAN HIPERTERMIA AKIBAT DENGUE HAEMORRHAGIC FEVER (DHF) DI GEDUNG AYODYA LANTAI 2 KELAS 3 RSUD SANJIWANI GIANYAR TAHUN 2026

Endaryani, Ni Made Wahyu (2026) ASUHAN KEPERAWATAN PADA Ny.A DENGAN HIPERTERMIA AKIBAT DENGUE HAEMORRHAGIC FEVER (DHF) DI GEDUNG AYODYA LANTAI 2 KELAS 3 RSUD SANJIWANI GIANYAR TAHUN 2026. Diploma thesis, Poltekkes Kemenkes Denpasar Jurusan Keperawatan 2026.

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Abstract

Nursing Care for Mrs. A with Hyperthermia Due to Dengue Hemorrhagic Fever (DHF) at Ayodya Building 2nd Floor Class III Sanjiwani General Hospital Gianyar 2026 ABSTRACT Dengue Hemorrhagic Fever (DHF) is an infectious disease caused by the dengue virus and transmitted through the bites of Aedes aegypti and Aedes albopictus mosquitoes. One of the primary nursing problems in patients with DHF is hyperthermia. The method used was descriptive, conducted over three days. Nursing care was initiated with assessment through interviews, observation, physical examination, and diagnostic evaluation. The patient, Mrs. A, a 21-year-old female, presented with a chief complaint of fever. One major sign/symptom was identified, namely body temperature above the normal value (38°C). In addition, four minor signs/symptoms were found, including the presence of skin rashes (petechiae), pulse rate of 102 beats per minute (tachycardia), respiratory rate of 22 breaths per minute (tachypnea), and warm skin. However, one minor sign/symptom, namely seizures, was not observed. The nursing diagnosis established was hyperthermia related to the disease process (dengue viral infection), as evidenced by elevated body temperature above 38°C, presence of skin rashes, pulse rate of 102 beats per minute (tachycardia), respiratory rate of 22 breaths per minute (tachypnea), and warm skin. The nursing care plan included determining goals and outcome criteria, where after 3 × 24 hours of nursing interventions, thermoregulation was expected to improve. The nursing interventions consisted of the primary intervention of hyperthermia management and the supporting intervention of thermoregulation education. In this case report, only 15 interventions were implemented. The final evaluation assessment concluded that the hyperthermia problem was resolved. Keywords: DHF, hyperthermia, nursing care ASUHAN KEPERAWATAN PADA Ny.A DENGAN HIPERTERMIA AKIBAT DENGUE HAEMORRHAGIC FEVER (DHF) DI GEDUNG AYODYA LANTAI 2 KELAS 3 RSUD SANJIWANI GIANYAR TAHUN 2026 ABSTRAK Dengue Haemorrhagic Fever (DHF) atau Demam Berdarah Dengue merupakan penyakit infeksi yang disebabkan oleh virus dengue dan ditularkan melalui gigitan nyamuk Aedes aegypti dan Aedes albopictus. Salah satu masalah keperawatan utama pada pasien DHF adalah hipertermia. Metode yang digunakan adalah deskriptif yang dilakukan selama tiga hari. Asuhan keperawatan dimulai dari pengkajian dengan wawancara, observasi, pemeriksaan fisik serta diagnostik. Pasien bernama Ny.A, perempuan, berumur 21 tahun dengan keluhan utama demam. Ditemukan satu gejala/tanda mayor yaitu suhu tubuh di atas nilai normal 38 ℃. Selain gejala/tanda mayor ditemukan juga empat gejala/tanda minor yaitu kulit pasien tampak bintik-bintik, frekuensi nadi : 102 x/menit (takikardia), respirasi : 22 x/menit (takipnea) dan kulit pasien terasa hangat. Namun ada satu gejala/tanda minor yang tidak ditemukan yaitu kejang. Diagnosis keperawatan yang dirumuskan adalah hipertermia berhubungan dengan proses penyakit (infeksi virus dengue) dibuktikan dengan suhu tubuh di atas nilai normal 38 ℃, kulit pasien tampak bintik-bintik, frekuensi nadi : 102 x/menit (takikardia), respirasi : 22 x/menit (takipnea) dan kulit pasien terasa hangat. Perencanaan keperawatan mencakup penentuan tujuan dan kriteria hasil setelah dilakukan intervensi keperawatan 3x24 jam, maka termoregulasi membaik. Intervensi keperawatan meliputi intervensi utama manajemen hipertermia dan intervensi pendukung edukasi termoregulasi. Pada laporan kasus hanya 15 tindakan yang di implementasikan. Assessment evaluasi akhir yang disimpulkan adalah masalah hipertermia teratasi. Kata kunci: DHF, hipertermia, asuhan keperawatan

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