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ABSTRACT ILLUSTRATES EMERGENCY NURSING CARE IN MODERATE HEAD INJURY PATIENTS WITH EMERGENCY NURSING CARE IN HEAD INJURED PATIENTS WITH GAS EXCHANGE DISORDERSIN IGD RSUP SANGLAH DENPASAR Ranni.G.A.I.P1, Wijaya. I.M.S2, Sunirda.I.N3 1

Students of the Nursing Academy of Kesdam IX / Udayana Living Emergency Nursing Lecturer of Nursing Academy Kesdam IX / Udayana 3 Emergency Nursing Practitioners at Wangaya Hospital Emergency Installation

2

Background: Head injury is the leading cause of death due to blunt trauma and sharp trauma causing lacerations resulting in bleeding. Widespread bleeding will push the brain and cause intracranial pressure, if the intracranial pressure is not resolved there will be herniation. Herniation if left untreated will suppress the brain stem so that the frequency of breathing rhythm is disrupted so that the exchange of oxygen and carbon dioxide is unbalanced causing the disturbance of gas exchange. The purpose of this case study is to draw emergency nursing care in head injured patients with gas exchange disorders. Method: This Scientific Writing is a case study describing the condition of 2 patients suffering from head injury. The tools used to retrieve data are checklists and interview sheets. The data obtained were analyzed by narrating the data obtained by comparing the existing theory. Outcome: Focus assessment was conducted on secondary examination ie investigation where it assessed oxygen saturation with fulse oximetry. The main nursing problem that arises is a gas exchange disruption. Actions taken with oxygen delivery as nonpharmacological therapy, accompanied by ABCDE treatment as emergency management. Evaluation: performed for 1 hour, the result obtained is the value of SaO2 from <95% to> 95%. Conclusion: As an emergency nurse we should pay special attention to secondary pengkajain especially investigation in case of head injury with gas exchange disorder. Keywords: Head Injury, Gas Exchanges Disorder, Nursing Care, Emergency.

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