scholarly journals DETEKSI DINI DERAJAT KESADARAN MENGGUNAKAN PENGUKURAN NILAI KRITIS MEAN ARTERY PRESSURE

Jurnal NERS ◽  
2016 ◽  
Vol 11 (1) ◽  
pp. 73
Author(s):  
Martono Martono ◽  
Sudiro Sudiro ◽  
Satino Satino
Keyword(s):  
Mean Arterial Pressure ◽  
Arterial Pressure ◽  
Design Research ◽  
Critical Value ◽  
Regression Result ◽  
Cross Sectional ◽  
Artery Pressure ◽  
Level Of Consciousness ◽  
The Impact ◽  
The Brain

ABSTRACTABSTRAKPendahuluan: Dampak Trauma cranio cerebral dapat mempengaruhi gangguan autoregulasi volume intrakranial yang terdiri dari otak, cairan serebrospinal dan darah dalam pembuluh darah.  Perubahan salah satu volume tersebut tanpa diikuti respon kompensasi dari faktor yang lain akan menimbulkan perubahan tekanan intrakranial dan jumlah aliran darah dari sirkulasi sistemik yang diperlukan untuk memberi oksigen dan glukosa yang adekuat untuk metabolisme otak. Salah satu hal yang sangat penting dalam asuhan keperawatan pada pasien dengan cidera kepala adalah menjaga kecukupan Mean Arteri Pressure serebral. Penelitian ini bertujuan untuk mengetahui kecukupan nilai kritis mean artery pressure dalam mendeteksi tingkat kesadaran pada pasien yang mengalami cidera kepala. Metode: Penelitian ini menggunakan disain  explanatory research  dengan pendekatan cross sectional yang menjelaskan pengaruh dan prediksi kecukupan nilai kritis mean arteria pressure terhadap derajat kesadaran pada pasien cidera kepala yang berjumlah 34 sampel. Uji statistik penelitian ini menggunakan regresi sederhana. Hasil: Hasil penelitian menunjukkan bahwa ada pengaruh yang positif nilai kritis mean artery pressure terhadap derajat kesadaran yang ditunjukkan nilai p=0.00<0.05 dan nilai mean artery pressure mampu mendeteksi tingkat kesadaran pasien cidera kepala sebesar 77.8%. Diskusi: Peningkatan nilai kritis Mean Arterial Pressure lebih dari 65 mmHg dapat memperbaiki mikrosirkulasi dan autoreglasi otak, sehingga mencegah terjadinya penurunan kesadaran pada pasien cidera kepala.Kata kunci: mean artery pressure (MAP), kesadaran, cidera kepala ABSTRACTIntroduction: The Impact of the trauma cranio cerebral can affect the volume autoregulation disorders any intracranial disease that consists of the brain and cerebrospinal fluid and the blood in the veins. The changes one of the volume without followed the response of compensation from the other factors will cause overt increased intracranial pressure changes and the amount of blood flow from the systemic circulation required to give oxygen and glucose intake to the metabolism of the brain. One of the things that is very important in nursing nursery on patients with injury head is to maintain the adequacy of Mean Artery Pressure cerebral. This research aims to know the adequacy of critical value mean artery pressure in detecting the level of consciousness in patients who suffered injury on the head. Method: This research using explanatory design research with cross sectional approach that explains the influence and the prediction of the adequacy of the critical value mean arteria pressure against the degree of awareness in patients with injury head which numbered 34 samples. This research statistics tests using simple regression. Result: The results of the study showed that there is a positive influence critical value mean artery pressure against the degree of awareness that indicated the value of p=0.00<0.05 and value of mean artery pressure is able to detect the level of consciousness patients injury head of 77.8%. Discussion: Increased critical value mean arterial pressure is more than 65 mmHg can improve mikrosirkulasi and autoreglasi brain, so that prevent the decline of awareness in patients with wounds of the head.Keywords: mean artery pressure (MAP), consciousness injury head

The The Correlation of Hemodynamic Status and Oxygen Saturation with The Level of Consciousness in Head Injury Patients

2020 ◽  
Vol 1 (3) ◽  
pp. 122-130
Author(s):  
Nuril Kumalasari ◽  
Marsaid ◽  
Lingling Marinda Palupi
Keyword(s):  
Mean Arterial Pressure ◽  
Head Injury ◽  
Body Temperature ◽  
Arterial Pressure ◽  
Oxygen Saturation ◽  
Respiratory Rate ◽  
P Value ◽  
Cross Sectional ◽  
Hemodynamic Status ◽  
Level Of Consciousness

Introduction: Head injury is a traumatic disorder caused by the mechanical strength of a blunt object or penetration that can cause temporary or permanent changes in tissue function and structure. The latest developing concept on poor prognosis among head injury patients was occur related to the secondary injuries, where there was an increase in intracranial, cerebral ischemia, and decreased consciousness. The important thing in the management of head injuries is to maintain hemodynamic stability and to prevent hypoxia by maintaining oxygen saturation >95%. The purpose of this study was to analyze the correlation of hemodynamic status and oxygen saturation with the level of consciousness in head injury patients at RSUD Mardi Waluyo, Blitar. Methods: The research used correlational analytical with a cross-sectional design. The sampling technique used consecutive sampling within a total sample of 30 respondents. Spearman's test was used for data analysis. Results: The results showed a correlation between mean arterial pressure (p-value = .004), respiratory rate (p-value = .000), body temperature (p-value = .017), and oxygen saturation (p-value = .000) with level of consciousness (GCS) respectively. Conclusion: It can be concluded that mean arterial pressure, respiratory rate, body temperature, and oxygen saturation can affect the level of consciousness (GCS). There was a need to improve hemodynamic and oxygen saturation monitoring to prevent the bad prognosis in head injury patients at RSUD Mardi Waluyo, Blitar.

Abstract 477: Diverse Actions of the EP4 Prostaglandin E2 Receptor in Blood Pressure Control

Hypertension ◽  
2013 ◽  
Vol 62 (suppl_1) ◽  
Author(s):  
Marcela Herrera ◽  
Matthew A Sparks ◽  
Beverky H Koller ◽  
Thomas M Coffman
Keyword(s):  
Smooth Muscle ◽  
Mean Arterial Pressure ◽  
Arterial Pressure ◽  
Smooth Muscle Cells ◽  
Prostaglandin E2 ◽  
Ductus Arteriosus ◽  
Muscle Cells ◽  
High Salt ◽  
Ang Ii ◽  
The Impact

Prostaglandin E2 (PGE2) is a major prostanoid produced by the kidney having the potential to influence renal blood flow, Na excretion, and thus mean arterial pressure (BP). PGE2 actions are mediated by four distinct E-prostanoid (EP) receptor isoforms: EP1-EP4. The EP4 receptor (EP4R) triggers macula densa stimulation of renin, induces vasodilation, and may inhibit epithelial sodium transport. Thus, the impact of EP4Rs on BP may differ with the sites of PGE2 synthesis and pattern of EP4R activation within the kidney. To examine the role of EP4R on BP regulation we generated EP4R-deficient mice. Because deletion of EP4R in utero causes peri-natal mortality due to persistent patent ductus arteriosus, we carried out conditional deletion by crossing EP4flox/flox with a transgenic line with tamoxifen-inducible Cre expression in all tissues. Resting mean arterial pressure (MAP) measured by radiotelemetry was increased by 5±1mm Hg (p<0.05) in mice with total-body EP4R-deficiency (EP4R-TBKO) vs. controls. In addition, EP4R-TBKOs had an exaggerated increase in MAP with high-salt (6% NaCl) feeding (MAP increase: 5±1 vs. 2±1mmHg for controls; p<0.05) and during angiotensin II (Ang II)-dependent hypertension (MAP increase: 37±2 vs. 24±3mmHg for controls; p<0.05). We next hypothesized that exaggerated hypertension in the EP4R-TBKOs was due to elimination of compensatory EP4R-depedent vasodilation mediated by direct actions in vascular smooth muscle cells (VSMCs). Accordingly, we generated mice lacking EP4R in VSMCs (EP4R-SMKOs) using EP4flox/flox and transgenic mice with tamoxifen-inducible expression of Cre limited to smooth muscle cells. In contrast to the EP4R-TBKOs, elimination of EP4R only from VSMC reduced resting MAP by 5±1mm Hg (p<0.04) but did not affect the BP response to high salt feeding (MAP change: 2±1 vs. 2±1 mm Hg; ns) or chronic Ang II infusion (MAP increase: 29±3 vs. 34±4 mm Hg; ns). Thus, the EP4R modulates resting MAP but its specific impact may vary between EP4R populations in different cell lineages. EP4Rs resist the development of salt- and Ang II-dependent hypertension. These anti-hypertensive actions are not mediated by direct effects of EP4R in VSMCs, but may involve EP4R in endothelium, brain, or kidney epithelia.

scholarly journals Hubungan Tingkat Kecemasan Dengan Hemodinamik Pasien Gagal Ginjal Kronik Yang Menjalani Hemodialisa

2019 ◽  
Vol 3 (2) ◽  
pp. 100-111
Author(s):  
Nurlinawati Nurlinawati ◽  
Dini Rudini ◽  
Yuliana Yuliana
Keyword(s):  
Mean Arterial Pressure ◽  
Arterial Pressure ◽  
Cross Sectional ◽  
Dialysis Disequilibrium Syndrome

Latar Belakang : Pasien hemodialisis seringkali mengalami kecemasan. Kecemasan ini apabila tidak diatasi akan mempengaruhi aspek fisiologis dan hemodinamik yang dikhawatirkan akan menimbulkan komplikasi yaitu dialysis disequilibrium syndrome. Penelitian ini bertujuan untuk mengetahui  hubungan  tingkat  kecemasan  dengan  kondisi  hemodinamik  pasien  gagal  ginjal kronik yang sedang menjalani hemodialisa. Metode : Jenis penelitian kuantitatif dengan menggunakan cross sectional. Sampel dalam penelitian ini berjumlah 57 responden. Analisis univariat menggunakan distribusi frekuensi dan analisis bivariat menggunakan regresi linier sederhana. Hasil : Hasil penelitian didapat tingkat kecemasan hanya berhubungan dengan Mean Arterial Pressure (MAP) sebelum hemodialisis dengan nilai signifikan 0.023 dan sesudah hemodialisis didapatkan nilai signifikan 0.026. Sedangkan nadi dan respirasi rate tidak terdapat hubungan dengan nilai signifikan >0.05. Kesimpulan : Ada hubungan antara tingkat kecemasan dengan Mean Arterial Pressure (MAP) pasien gagal ginjal kronik yang sedang menjalani hemodialisa di ruang Hemodialisa RSUD Raden Mattaher Jambi Tahun 2018.

scholarly journals Impact of blood pressure changes in cerebral blood perfusion of patients with ischemic Moyamoya disease evaluated by SPECT

2020 ◽  
pp. 0271678X2096745
Author(s):  
Zhao Liming ◽  
Sun Weiliang ◽  
Jia Jia ◽  
Liang Hao ◽  
Liu Yang ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Blood Flow ◽  
Cerebral Blood Flow ◽  
Mean Arterial Pressure ◽  
Arterial Pressure ◽  
Moyamoya Disease ◽  
Emission Computed Tomography ◽  
Study Cohort ◽  
Pressure Changes ◽  
The Impact

Our aim was to determine the impact of targeted blood pressure modifications on cerebral blood flow in ischemic moyamoya disease patients assessed by single-photon emission computed tomography (SPECT). From March to September 2018, we prospectively collected data of 154 moyamoya disease patients and selected 40 patients with ischemic moyamoya disease. All patients underwent in-hospital blood pressure monitoring to determine the mean arterial pressure baseline values. The study cohort was subdivided into two subgroups: (1) Group A or relative high blood pressure (RHBP) with an induced mean arterial pressure 10–20% higher than baseline and (2) Group B or relative low blood pressure (RLBP) including patients with mean arterial pressure 10–20% lower than baseline. All patients underwent initial SPECT study on admission-day, and on the following day, every subgroup underwent a second SPECT study under their respective targeted blood pressure values. In general, RHBP patients showed an increment in perfusion of 10.13% (SD 2.94%), whereas RLBP patients showed a reduction of perfusion of 12.19% (SD 2.68%). Cerebral blood flow of moyamoya disease patients is susceptible to small blood pressure changes, and cerebral autoregulation might be affected due to short dynamic blood pressure modifications.

scholarly journals Distribution of Ocular Perfusion Pressure in Hypertensive Patients

2020 ◽  
pp. 189-194
Author(s):  
S. Shruthi
Keyword(s):  
Mean Arterial Pressure ◽  
Arterial Pressure ◽  
Perfusion Pressure ◽  
Cross Sectional Study ◽  
Ocular Perfusion Pressure ◽  
Observation Study ◽  
Cross Sectional ◽  
Hypertensive Patients ◽  
Ocular Perfusion ◽  
Increased Risk

Aim: To describe the distribution of ocular perfusion pressure hypertensive patients. Design: Cross-sectional observation study. Materials and Methods: Hospital-based, case control cross-sectional study conducted on 100 patients. Systolic and diastolic blood pressure (SBP and DBP) was measured with a Mercury Sphygmomanometer. Mean ocular perfusion pressure (MOPP) = ⅔ (mean arterial pressure − IOP), where mean arterial pressure (MAP) = DBP + ⅓ (SBP − DBP), systolic perfusion pressure (SPP) = SBP – IOP and diastolic perfusion pressure (DPP) = DBP − IOP was calculated. Results: High values of diastolic BP (>90 mmHg) and low values of OPP (<40 mmHg) were associated to an increased risk of confirmed POAG. Conclusion: There is a close relationship between OPP and confirmed glaucoma in hypertensive patients.

scholarly journals Hubungan Kebiasaan Merokok dengan Tekanan Darah pada Siswa SMK N 1 Padang

2017 ◽  
Vol 6 (2) ◽  
pp. 429
Author(s):  
Aulia Fash Farabi ◽  
Afriwardi Afriwardi ◽  
Gusti Revilla
Keyword(s):  
Mean Arterial Pressure ◽  
Arterial Pressure ◽  
Global Youth Tobacco Survey ◽  
Cross Sectional

Hipertensi dapat mengganggu fungsi organ lain terutama organ vital seperti jantung dan ginjal. Hipertensi tidak hanya menyerang di usia tua saja, tetapi juga remaja. Merokok merupakan salah satu faktor pencetus hipertensi. Tujuan penelitian ini adalah untuk mengetahui hubungan antara kebiasaan merokok dan tekanan darah pada siswa SMK N 1 Padang. Rancangan penelitian yang digunakan adalah penelitian analitik dengan desain cross-sectional. Sampel penelitian ini adalah 111 orang siswa kelas XI SMK N 1 Padang. Penilaian status merokok dengan menggunakan kuesioner Global Youth Tobacco Survey (GYTS) yang telah disadur dan digabungkan dengan indeks Brinkman dan penilaian tekanan darah dengan sphygmomanometer air raksa serta stetoskop. Hasil penelitian didapatkan siswa bukan perokok sebanyak 68 orang (61,3%) dan perokok ringan sebanyak 43 orang (38,7%). Rata- rata tekanan darah sistolik siswa sebesar 112,57 mmHg dan tekanan darah diastolik siswa sebesar 70,05 mmHg. Didapatkan tekanan darah sistolik perokok ringan lebih rendah 2,1 mmHg dibandingkan bukan perokok dan tekanan diastolik perokok ringan lebih rendah 2,92 mmHg dibandingkan bukan perokok. Hasil analisis data statistik kebiasaan merokok dengan tekanan darah sistolik didapatkan p = 0,15. Hasil analisis data statistik kebiasaan merokok dengan tekanan darah disatolik didapatkan p = 0,078. Sedangkan hasil analisis data statistik kebiasaan merokok dengan mean arterial pressure (MAP) didapatkan p = 0,094, Simpulan penelitian ini menunjukan tidak terdapat hubungan kebiasaan merokok dengan tekanan darah sistolik, tekanan darah diastolik dan MAP.

PEMANFAATAN ROLL OVER TEST DAN MEAN ARTERY PRESSURE DALAM DETEKSI DINI RISIKO PREEKLAMPSIA

2020 ◽  
Vol 2 (1) ◽  
pp. 134
Author(s):  
Esyuananik Esyuananik ◽  
Sri Wayanti ◽  
Dwi Wahyu Wulan ◽  
Deasy Irawati
Keyword(s):  
Mean Arterial Pressure ◽  
Arterial Pressure ◽  
Artery Pressure ◽  
Natal Care

Preeklampsia merupakan salah satu komplikasi kehamilan  dan menjadi penyebab kematian ibu maupun janin. Preeklampsia di Indonesia merupakan penyebab kematian ibu kedua (12,9%) setelah perdarahan (45,2%) Di Jawa Timur, penyebab dari kematian ibu tahun 2011: perdarahan 35,38%, pre eklamsia/eklampsia 29,23% dan infeksi 3,84%. Di Puskesmas Socah, pada tahun 2016 terdapat 5 orang dengan Preeklampsi berat. Perlu dilakukan pendampingan dan pemeriksaan ante natal care secara teratur dan komprehensif bagi ibu primigravida agar dapat mengetahui sejak dini komplikasi kehamilan dan tindakan konseling pra hamil, hamil dan pasca hamil. Ada beberapa metode deteksi dini untuk mengetahui faktor resiko pre eklamsi pada ibu hamil. Salah satu diantaranya adalah dengan menggunakan pemeriksaan Roll over-test dan Mean arterial Pressure. Pemeriksaan ini sangat mudah dan murah, sehingga bisa dilakukan oleh tenaga kesehatan baik di tingkat dasar maupun di pelayanan tingkat lanjut.  Pelayanan kesehatan ibu hamil TM II di Puskesmas Socah berjalan dengan baik. Dari 54 bumil TM II yang memeriksakan kehamilannya, terdapat 15 orang (27,75) yang terdeteksi berisiko PE. Selaian untuk mendeteksi secara dini PE, kegiatan pengabdian masyarakat juga bertujuan menggerakkan peran serta keluarga dan masyarakat, untuk mendeteksi agar PE dapat segera diketahui secara dini sehingga tidak berlanjut ke kejadian PEB

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