Respiratory Distress of Newborn dengan Pemantauan Respirasi dan Alih Baring untuk Mengatasi Hiperbilirubinemia di Ruang Neonatal Intensive Care Unit: Studi Kasus

  • Musfirah Hasanuddin University [https://ror.org/00da1gf19]
  • Kadek Ayu Erika Nursing Study Program, Faculty of Nursing, Hasanuddin University
  • Rifka Zulfiani Latinapa
  • Abdul Kadir

Abstrak

Respiratory Distress of Newborn (RDN) is a common cause of newborns respiratory distress. The RDN appears within a few hours after birth, and mostly often appears soon after birth. RDN usually has symptoms of tachypnea with a respiratory rate of more than 60 breaths per minute accompanied by grunting, chest retractions, nostril breathing, and cyanosis. Asphyxia is one of the causes of RDN. In addition, asphyxia can cause an increase in bilirubin levels in newborns leading to hyperbilirubinemia.

This study was to observe the patient's breathing pattern and bilirubin levels among infants with RDN. A descriptive study, specifically case study design was utilized. The subject of this case study was baby H who diagnosed with RDN with CPAP installed on the 4th day.

Results showed that monitoring vital signs for 3 days can improve breathing patterns and prevent respiratory failure. Meanwhile, phototherapy along with bed transfer has been shown to reduce bilirubin levels from bilirubin levels before the intervention, namely 20.65 mg/dl to 7.57 mg/dl after the intervention.

 Respiratory monitoring can improve respiratory rate. In addition to phototherapy, infants can also be given bed rest while monitoring vital signs to treat hyperbilirubinemia in RDN infants.

Referensi

Azevedo, A., Flor-de-Lima, F., Rocha, G., Rodrigues, C., & Guimarães, H. (2017). Impact of changes in perinatal care on bronchopulmonary dysplasia: An overview of the last two decades. Journal of Pediatric and Neonatal Individualized Medicine, 6(2), 1–7. https://doi.org/10.7363/060208

Choudhary, M., Sharma, D., Dabi, D., Lamba, M., Pandita, A., & Shastri, S. (2015). Hepatic Dysfunction in Asphyxiated Neonates: Prospective Case-Controlled Study. Clinical Medicine Insights: Pediatrics, 9, CMPed.S21426. https://doi.org/10.4137/cmped.s21426

Herting, E., Härtel, C., & Göpel, W. (2019). Less invasive surfactant administration (LISA): Chances and limitations. Archives of Disease in Childhood: Fetal and Neonatal Edition, 104(6), F655–F659. https://doi.org/10.1136/archdischild-2018-316557

Jing, L., Na, Y., & Ying, L. (2014). High-risk factors of respiratory distress syndrome in term neonates: A retrospective case-control study. Balkan Medical Journal, 31(4), 64–68. DOI: 10.5152/balkanmedj.2014.8733

Kommawar, A., Borkar, R., Vagha, J., Lakhkar, B., Meshram, R., & Taksandae, A. (2017). Study of respiratory distress in newborn. International Journal of Contemporary Pediatrics, 4(2), 490. https://doi.org/10.18203/2349-3291.ijcp20170695

Lagae, D., Schuler-Barazzoni, M., Ungarelli-McEvoy, C., Stadelmann Diaw, C., & Roth-Kleiner, M. (2021). Respiratory distress in newborn infants in Western Switzerland. Journal of Maternal-Fetal and Neonatal Medicine, 34(19), 3112–3119. https://doi.org/10.1080/14767058.2019.1678131

Meshesha, A. D., Azage, M., Worku, E., & Bogale, G. G. (2020). Determinants of Birth Asphyxia Among Newborns in Referral Hospitals of Amhara National Regional State, Ethiopia. Pediatric Health, Medicine and Therapeutics, Volume 11, 1–12. https://doi.org/10.2147/phmt.s229227

Nardello, D. M., Guimarães, A. M. D. A. N., Barreto, I. D. de C., Gurgel, R. Q., Ribeiro, E. R. de O., & Gois, C. F. L. (2017). Fetal and neonatal deaths of children of patients classified as near miss. Revista Brasileira de Enfermagem, 70(1), 104–111. https://doi.org/10.1590/0034-7167-2016-0405

Rocha, G., Soares, P., Gonçalves, A., Silva, A. I., Almeida, D., Figueiredo, S., … Guimarães, H. (2018). Respiratory Care for the Ventilated Neonate. Canadian Respiratory Journal, 2018. https://doi.org/10.1155/2018/7472964

Tochie, J. N., Choukem, S. P., Langmia, R. N., Barla, E., & Ndombo, P. K. (2016). Neonatal respiratory distress in a reference neonatal unit in Cameroon: An analysis of prevalence, predictors, etiologies and outcomes. Pan African Medical Journal, 24, 1–10. https://doi.org/10.11604/pamj.2016.24.152.7066

Wikanthiningtyas, N. W., & Mulyanti, S. (2016). Pengaruh Alih Baring Selama Fototerapi Terhadap Perubahan Kadar Bilirubin Pada Ikterus Neonatorum di Ruang HCU Neonatus RSUD Dr. Moewardi. Jurnal Keperawatan Global, 1(1), 51–54. https://doi.org/10.37341/jkg.v1i1.17

Yadav, S., Lee, B., & Kamity, R. (2021). Neonatal Respiratory Distress Syndrome.

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2023-01-18