Penerapan Manajemen Asma pada Bersihan Jalan Napas pada Pasien Asma Bronchiale di IGD RS. TK. II Makassar

Authors

  • Nurlaela Sari Askar Prodi Ners Fakultas Kesehatan Masyarakat UMI
  • Sudarman Sudarman Fakultas Kesehatan Masyarakat, Universitas Muslim Indonesia
  • Wan Sulastri Emin Fakultas Kesehatan Masyarakat, Universitas Muslim Indonesia
  • Muhajirin Maliga Fakultas Kesehatan Masyarakat, Universitas Muslim Indonesia

DOI:

https://doi.org/10.33096/v0t25860

Keywords:

Bronchial asthma, tripod position, nebulizer therapy, airway clearance, emergency department

Abstract

Bronchial asthma is a chronic inflammatory airway disease that may present with acute exacerbations characterized by bronchospasm, mucus hypersecretion, and increased work of breathing. In emergency settings, nursing care should focus on airway patency and oxygenation. To describe tripod positioning and nebulizer therapy in an acute bronchial asthma patient with ineffective airway clearance in the Emergency Department (ED). A descriptive single-case report in May 2025 at the ED of RS Tk. II Pelamonia Makassar. The intervention included tripod positioning (10 minutes) and nebulizer therapy (15 minutes), with pre- and post-assessment of respiratory rate, oxygen saturation, breath sounds, cough effectiveness, and dyspnea severity, aligned with SDKI–SLKI–SIKI reasoning. Clinical improvement was observed in this case, including reduced respiratory rate (28 to 22 breaths/min), increased oxygen saturation (92% to 97%), resolution of wheezing, more effective cough, and reduced dyspnea severity. Tripod positioning and nebulizer therapy were followed by clinical improvement in this case, while causal inference is limited due to the single-case design and potential concomitant treatments.

References

1. Vaz-Rodrigues R. Current and Future Strategies for the Diagnosis and Treatment of the Alpha-Gal Syndrome (AGS) [Internet]. Vol. 15, Journal of Asthma and Allergy. 2022. p. 957–70. Available from: https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85134375337&origin=inward

2. Jung M, Kim MJ, Kim S, Kyung Y, ... Effect of prenatal phthalate exposure on childhood atopic dermatitis: A systematic review and meta-analysis. Allergy &Asthma … [Internet]. 2021; Available from: https://search.ebscohost.com/login.aspx?direct=true&profile=ehost&scope=site&authtype=crawler&jrnl=10885412&an=151186445&h=xfxcnhujbnmxo3aupvgtga9n%2bpvzr39ateupal3lffa090gfftjurfqplxzs9jbvh0tfxmcczfabklzkpgxrpq%3d%3d&crl=c

3. Srimulyani D. Efektivitas Teknik Pursed Lip Breathing dan Posisi Semi Fowler pada Penderita Tuberculosis Paru. J Lang Heal. 2024;5(2):561–70.

4. Huriani E, Muliantino MR, Putri TN. Hubungan Perawatan Diri Dengan Kualitas Hidup Pasien Penyakit Jantung Koroner : Studi Korelasi. J Endur. 2022;7(2):445–53.

5. Fung M. Zoonotic coronavirus epidemics: Severe acute respiratory syndrome, Middle East respiratory syndrome, and coronavirus disease 2019 [Internet]. Vol. 126, Annals of Allergy Asthma and Immunology. 2021. p. 321–37. Available from: https://api.elsevier.com/content/article/eid/1-s2.0-S1081120620312412

6. Dandan JG, Parhusip MBE, Frethernety A. Literature Review: Gambaran Faktor-Faktor Pencetus Asma pada Pasien Asma. J Kedokt Univ Palangka Raya. 2022;10(2):1–5.

7. Putri AA, Rahmawati I, Mardihusodo HR. Prevelensi dan Faktor-Faktor Risiko Penyebab Asma pada Anak di Puskesmas Sumbang 1 Periode Januari 2018-Desember 2020. Mandal Heal. 2022;2022(1):90–101.

8. Suwaryo PAW, Amalia WR, Waladani B. Efektifitas Pemberian Semi Fowler dan Fowler terhadap Perubahan Status Pernapasan pada Pasien Asma. 13th Univ Res Colloqium 2021 Sekol Tinggi Ilmu Kesehat Muhammadiyah Klaten Ef. 2021;2021(1):1–8.

9. Novitasari N, Fitria N, Komariah M. Asuhan Keperawatan pada Pasien yang Mengalami Masalah Gangguan Pertukaran Gas melalui Posisi Orthopnea pada Pasien dengan CAD: Case Report. SENTRI J Ris Ilm. 2024;3(2):677–86.

10. Kurniawan A, Suminar IT. Laporan Kasus Pasien Asma Dengan Pola Napas Tidak Efektif Di Bangsal Ibnu Sina RS PKU Muhammadiyah Yogyakarta. J Penelit Nusant. 2025;1(7):140–4.

11. Wira K, S EM, Suharo. Asuhan Keperawatan Keluarga pada Asma Bronchiale dengan Tindakan Tarik Nafas dalam di Wilayah UPT Puskesmas Pulo Brayan. J Ris Ilm. 2024;1(3):218–33.

12. Ekowatiningsih D, Mustafa M, Heriansyah, M Y. Implementasi Terapi Nebulizer pada Pasien dengan Masalah Ketidakefektifan Bersihan Jalan Napas di Instalasi Gawat Darurat. J Media Keperawatan Politek Kesehat Makassar. 2025;16(01):1–5.

13. Wardiyah A, Pribadi T, T CSMY. Terapi Relaksasi Napas Dalam pada Pasien dengan Resiko Perilaku Kekerasan di RS Jiwa Bandar Lampung. J Kreat Pengabdi Kpd Masy. 2022;5(10):3611–26.

14. Elyta T, Oxyandi M, Cahyani RA. Penerapan Teknik Relaksasi Nafas Dalam terhadap Penurunan Intensitas Nyeri pada Asuhan Keperawatan Pasien Gastritis. J Kesehat J Ilm Multi Sci. 2021;11(2):136–47.

15. Park CH, Blaisdell CJ, Arteaga SS, ... How the Environmental Influences on Child Health Outcome (ECHO) cohort can spur discoveries in environmental epidemiology. Am J Epidemiol [Internet]. 2024; Available from: https://academic.oup.com/aje/article/doi/10.1093/aje/kwae073/7676171

Downloads

Published

2025-12-31

How to Cite

Penerapan Manajemen Asma pada Bersihan Jalan Napas pada Pasien Asma Bronchiale di IGD RS. TK. II Makassar. (2025). Wal’afiat Hospital Journal, 6(2), 133-138. https://doi.org/10.33096/v0t25860

Most read articles by the same author(s)