Tatalaksana Komorbid pada Pasien Terkonfirmasi Covid-19

JAI (Jurnal Anestesiologi Indonesia), 2020

Latar Belakang: Corona Virus Disease-19 (COVID-19) merupakan penyakit pandemi yang dapat menyebabkan komplikasi tromboemboli sebagai akibat terjadinya koagulopati dengan insidensi sekitar 16.5-21%. Salah satu patofisiologi koagulopati pada pasien COVID-19 disebabkan oleh proses inflamasi. Peningkatan faktor inflamasi, faktor koagulasi, dan skoring klinis digunakan sebagai prediksi terjadinya komplikasi tromboemboli. Pemberian antikoagulan memiliki peran untuk mencegah terjadinya komplikasi tersebut.Kasus: Pasien laki-laki, 43 tahun, positif COVID-19 dengan skor PADUA = 4, peningkatan D-dimer dan mendapatkan terapi profilaksis antikoagulan. Dalam perawatan hari ke-14, sesak napas memberat, takikardi dan hipoksemia dialami pasien. Didapatkan gambaran Humpton’s hump pada foto toraks dan gambaran elektrokardiography (EKG) pola S1Q3T3 dan corrected QT interval (QTc) 552 mms. Penatalaksanaan pasien dengan ventilasi mekanik dan terapi unfractionated heparin (UFH) dosis terapeutik. Saat pa...

Jurnal Sains dan Kesehatan

As stated by the World Health Organization (WHO) as a global pandemic on March 11, 2020, Coronavirus Disease 2019 (Covid-19), a disease caused by the Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2), [1]. For suspected and confirmed Covid-19 patients with mild symptoms, the use of antibiotic drugs is not recommended, both for therapy and prevention [2] .After WHO declared Covid-19 a global pandemic, RSUD dr. La Palaloi is one of the hospitals appointed by the government as a referral hospital for handling Covid-19 in Maros district, South Sulawesi. Comorbidity is one of the factors that causes the mortality rate in patients infected with Covid-19 to increase. The purpose of this study was to describe the pattern of prescribing Covid-19 drugs for comorbid patients. The research method used is a retrospective research method to determine the pattern of Covid-19 treatment with comorbid patients at dr. La Palaloi. The most common comorbidity is hypertension. The most antibio...

Jurnal Kesehatan Mercusuar, 2022

The impact of Covid -19 on individuals who are exposed or confirmed to Covid -19 can be a stressor for patients so they need social support in order to overcome stressors that have an impact on the patient's psychology. This study aims to gain an in-depth understanding of the social support of patients with confirmed Covid-19 cases. This type of qualitative research was conducted using a phenomenological approach, and participants were selected through purposive sampling. Participants in this study were people who had been exposed to the corona virus or positive COVID-19 patients who had managed to recover from their illness as many as 7 people in Cirebon, West Java. Data were collected through in-depth interviews with open-ended questions. The data were analyzed thematically. The results of the study found 3 themes, namely the psychological impact, the support received and the positive effect on healing. Social support is indispensable for patients with Covid-19. Therefore, proper planning is needed so that the patient's social support needs can be met.

Jurnal Sains dan Kesehatan

Corona Virus Desease 2019 (COVID-19), is a disease caused by corona virus. According to the World Health Organization (WHO), COVID-19 is a tragedy in the world of global health. The main clinical manifestations are cough, fever, shortness of breath and in some cases can cause multiple organ failure, septic shock and metabolic acidosis which is difficult to correct. Where people who are elderly and have chronic disease generally have a poor prognosis. Prompt and appropriate therapy is expected to save patients. Until now, scientific evidence regarding the effectiveness and safety of these therapies is still very little. This study aims to evaluate the effectiveness and safety of COVID-19 therapy in COVID-19 patients with comorbid hypertension. The therapy used in this patient was azithromicin, ceftriaxone, levofloxacin and meropenem; Antiviral therapy was given hydroxychloroquine; symptomatic therapy for fever was given paracetamol; hypertension therapy was given amlodipine; Support ...

JIVA: Journal of Behaviour and Mental Health

ABSTRACTWhen individuals suffer from COVID-19, they have to be isolated in order to contain the disease from spreading widely. Facing days as COVID-19 patients is not an easy thing for them. There are numerous stress sources they experience during isolation time. To face this stress, patients could use a coping strategy that is suitable for the problems they experience. The study aims to find out what are the coping strategies of these patients until they recover. The method of this study is a descriptive qualitative approach to describe the coping strategies of COVID-19 patients during their isolation. The data collection techniques were observation, interview, and documentation. The data analysis technique in this study was data reduction, display, and drawing conclusions. The result of this study indicated that each individual had different coping strategies. However, the most used coping strategy by COVID-19 patients is escape avoidance in which the patients shift their minds to...

Jurnal Ilmu Kesehatan Indonesia

Latar Belakang: Coronavirus Disease 2019 (COVID-19) yang disebabkan Severe Acute Respiratory Coronavirus-2 (SARS-CoV-2) telah menjadi perhatian dunia sejak awal ditemukan hingga saat ini. Keparahan kondisi pasien COVID-19 dengan komorbid dipengaruhi dengan berbagai faktor yang dapat meningkatkan morbiditas dan mortalitas pasien COVID-19. Objektif: Penelitian ini bertujuan untuk mengetahui profil pasien COVID-19 dengan komorbid yang dirawat di RSUP Dr. M. Djamil Padang. Metode: Jenis penelitian ini merupakan observasional deskriptif dengan pendekatan cross-sectional. Data penelitian diambil dari data rekam medis dengan teknik pengambilan total sampling pada pasien yang dirawat pada 1 Oktober sampai 31 Desember 2020. Hasil: Penelitian ini mendapatkan dari total 144 pasien, 34% pasien COVID-19 dengan komorbid merupakan kelompok usia 50-59 tahun, 50,7% berjenis kelamin laki-laki, 59,7% memiliki riwayat pendidikan tingkat menengah dan 53,5% berstatus IMT obesitas. Komorbid terbanyak yang...

The Indonesian Journal of Infectious Diseases

Latar Belakang:. Penyakit Coronavirus 2019 merupakan penyakit sistem pernapasan yang baru saja muncul dan menjadi pandemi. Indonesia mengalami peningkatan jumlah kasus yang cukup drastis. Derajat keparahan yang dialami oleh pasien COVID-19 dapat dipengaruhi oleh berbagai hal seperti usia, penyakit komorbid, defisiensi vitamin D, dan obesitas. Penelitian ini bertujuan untuk mengetahui hubungan jumlah komorbid dan derajat keparahan terhadap kematian pada pasien COVID-19. Metode: Penelitian deskriptif analitik dengan rancangan cross sectional. Total sampel 1240 pasien COVID-19 RSPI Sulianti Saroso Tahun 2020 2021. Hasil: Komorbid terbanyak adalah hipertensi dan diabetes melitus, derajat keparahan kategori sedang dan outcome hidup. Hasil analisis ada hubungan antara jumlah komorbid dengan status kematian (OR=1,585). Ada hubungan diabetes melitus dengan status kematian pasien pada pasien COVID-19 (OR=1,927). Ada hubungan antara derajat keparahan dengan status kematian pada pasien COVID-...

Jurnal Kesehatan Medika Udayana

Background: Corona virus disease 2019 is a disease caused by infection with the SARS-CoV-2 virus, which generally attacks the respiratory system in humans, Corona Virus disease can cause different symptoms, be it mild, moderate to severe symptoms. The level of symptoms in Corona Virus disease patients is influenced by various factors, both internal and external, and one of the influencing factors is the presence of comorbidities or comorbidities. The purpose of this study was to find out the description of symptoms in Corona Virus disease patients with comorbidities at Labuang Baji Hospital, Makassar City Method The research design used is descriptive analytic through a cross-sectional approach. The total population in this study was 129 people. The sampling technique used was total sampling.. Results: In this study, the results showed that of 129 Corona virus disease patients, most of them had comorbid cardiovascular disorders (hypertensive heart disease) and of all patients who ha...

Faedah : Jurnal Hasil Kegiatan Pengabdian Masyarakat Indonesia

Sebagian kasus COVID-19 dengan prognosis yang buruk bahkan kematian dimiliki oleh penderita COVID-19 dengan penyakit penyerta atau komorbid. Beberapa penyakit penyerta diantaranya adalah kanker, gangguanginjal, hati, paru-paru kronis, gangguan neurologis, diabetes tipe 1 dan 2, gangguan jantung dan pembuluh darah, infeksi HIV, gangguan sistem kekebalan tubuh, obesitas, thalassemia dan beberapa gangguan Kesehatan lainnya. Umumnya penderita hipertensi mengeluhkan terjadinya peradangan paru-paru atau pneumonia dibarengi dengan kenaikan tekanan darah. Lalu penderita gangguan paru-paru kronik mengeluhkan terjadinya kekurangan darah atau hiposemia parah dan gejala khas lainnya pada setiap komorbid. Dalam upaya memimalisir resiko kematian pada pasien COVID-19 dengan Riwayat komorbid tersebut perlu dilakukan edukasi kepada masyarakat terutama ditujukan untuk memotivasi amsyarakat untuk lebih mematuhi protocol Kesehatan. Sekaligus upaya untuk mencegah dirinya tertular COVID-19.

Molucca Medica

Coronavirus Disease 2019 atau COVID-19 pada akhir tahun 2019 mulai menjadi sorotan masalah kesehatan dunia. Penularan virus ini terjadi dengan sangat cepat melalui droplet dan kontak erat antar manusia hingga menyebabkan tingginya kasus COVID-19 secara global. Kelompok orang yang memiliki komorbid (DM tipe 2, hipertensi, hiperurisemia, penyakit kardiovaskular, asma, PPOK, TB, Hepatitis, dan gagal ginjal kronik) diketahui rentan terinfeksi COVID-19 dan dapat memperberat derajat keparahan penyakit serta memperpanjang durasi perawatan. Penelitian ini bertujuan untuk mengetahui hubungan komorbid dengan durasi perawatan pasien COVID-19 pada dua rumah sakit rujukan COVID-19 di Kota Ambon tahun 2020. Manfaat penelitian ini dapat memberikan gambaran kepada tenaga kesehatan mengenai hubungan komorbid dengan durasi perawatan pasien COVID-19. Penelitian ini merupakan penelitian analitik observasional dengan metode cross sectional dan sampel diambil menggunakan teknik total sampling. Data yang ...