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

Calculated mean arterial pressure in the posterior tibial and radial artery pressure wave in newbown infants

1995 ◽  
Vol 90 (3) ◽  
pp. 247-251
Author(s):  
M. Gevers ◽  
M. W. M. Hack ◽  
H. R. Genderingen ◽  
H. N. Lafeber ◽  
N. Westerhof
Keyword(s):  
Mean Arterial Pressure ◽  
Arterial Pressure ◽  
Radial Artery ◽  
Pressure Wave ◽  
Artery Pressure ◽  
Posterior Tibial ◽  
Radial Artery Pressure

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

Renal escape from vasopressin: role of pressure diuresis

1986 ◽  
Vol 250 (5) ◽  
pp. F907-F916 ◽  
Author(s):  
J. E. Hall ◽  
J. P. Montani ◽  
L. L. Woods ◽  
H. L. Mizelle
Keyword(s):  
Renal Function ◽  
Mean Arterial Pressure ◽  
Arterial Pressure ◽  
Renal Artery ◽  
Urine Volume ◽  
Urine Osmolality ◽  
Conscious Dogs ◽  
Artery Pressure ◽  
Antidiuretic Action

This study was designed to examine the role of increased renal artery pressure (RAP) in mediating escape from the antidiuretic action of vasopressin (AVP). In six conscious dogs in which RAP was permitted to increase, AVP infusion, at a rate (0.2 mU X kg-1 X mm-1 iv) that was acutely subpressor, gradually raised mean arterial pressure (MAP) from 97 +/- 2 to 126 +/- 4 mmHg after 5 days while decreasing urine volume and increasing urine osmolality. However, after 4-5 days of AVP infusion, urine volume and osmolality returned to control, and the hypertensive effect of AVP waned so that after 9 days of AVP, MAP averaged only 113 +/- 5 mmHg. In contrast, when RAP was prevented from increasing in seven dogs with a servo-controlled aortic occluder, AVP caused sustained decreases in urine volume and elevated urine osmolality from 609 +/- 27 to 1,160-1,711 mosmol/kg H2O throughout 8 days of infusion. The hypertensive effect of AVP did not wane when RAP was servo-controlled, and after 8 days of AVP infusion, MAP averaged 152 +/- 7 mmHg, compared with a control of 96 +/- 2 mmHg. Servo-controlling RAP also prevented the marked sodium and chloride losses seen with chronic AVP infusion in normal dogs. These findings indicate that escape from the antidiuretic action of AVP is mediated by increased RAP, which causes diuresis and natriuresis, thereby diminishing the hypertensive effect of AVP. However, when pressure diuresis and natriuresis are prevented, AVP causes severe chronic hypertensive, suggesting that AVP could be an important hypertensive mechanism when renal function is impaired.

How we significantly reduced oesophagectomy leaks and the significance of Mean Arterial Pressure

2017 ◽  
Author(s):  
C Reissfelder ◽  
T Mees ◽  
S Schölch ◽  
A Remer ◽  
A Seifert ◽  
...  
Keyword(s):  
Mean Arterial Pressure ◽  
Arterial Pressure

CHARACTERISTICS OF 24-HOUR BLOOD PRESSURE INDICATORS IN PATIENTS WITH HYPERTENSION AND CHRONIC OBSTRUCTIVE PULMONARY DISEASE

2020 ◽  
pp. 31-41
Author(s):  
M.A. Bubnova ◽  
O.N. Kryuchkova
Keyword(s):  
Blood Pressure ◽  
Chronic Obstructive Pulmonary Disease ◽  
Mean Arterial Pressure ◽  
High Risk ◽  
Arterial Pressure ◽  
Pulmonary Disease ◽  
Comparison Group ◽  
Cardiovascular Complications ◽  
Chronic Obstructive ◽  
Obstructive Pulmonary Disease

Patients with hypertension (HT) and chronic obstructive pulmonary disease (COPD) have a high risk of cardiovascular complications. Up to now, there is no optimal strategy for combined antihypertensive therapy. Still, the data of 24-hour blood pressure monitoring (BPM) are important while choosing treatment tactics. The aim of the paper is to study the features of indicators in patients with arterial hypertension (AH) and COPD. Materials and methods. 130 patients with HT were included in the study. The main group (n=90) included comorbid patients with HT and COPD, their average age was 61.30±1.01; the comparison group (n=40) consisted of patients with HT, their average age was 59.10±1.53. All patients underwent 24-hour BPM. Results. Comorbid patients revealed an increase in the mean 24-hour and night systolic and mean arterial pressure values as well as a significant increase in the load index of systolic, diastolic and mean arterial pressure. Also, comorbid patients demonstrated higher blood pressure in contrast to the patients of the comparison group. They had increased systolic, diastolic and mean blood pressure variability and a quicker rate of morning blood pressure rise. According to 24-hour blood pressure dynamics, pathological types of the 24-hour blood pressure curve, a higher frequency of the night-peaker profile dominated in patients with COPD if compared to patients with HT. Conclusion. The obtained data indicated a high risk of cardiovascular complications in comorbid patients, early target organ damage and an unfavorable disease prognosis. It means that both further study of hypertension clinical course in such patients and personalization of antihypertensive therapy are relevant. Keywords: hypertension, chronic obstructive pulmonary disease, 24-hour monitoring, blood pressure. Пациенты с артериальной гипертензией (АГ) и хронической обструктивной болезнью легких (ХОБЛ) имеют высокий риск возникновения кардиоваскулярных осложнений. В настоящее время в лечении не определена наиболее оптимальная стратегия комбинированной антигипертензивной терапии. Для выбора тактики терапии важную роль играют показатели суточного мониторирования артериального давления (СМАД). Цель. Изучить особенности показателей СМАД у пациентов с АГ на фоне ХОБЛ. Материалы и методы. В исследование включено 130 пациентов с АГ. В основную группу (n=90) вошли пациенты с АГ и ХОБЛ (средний возраст – 61,30±1,01 года), в группу сравнения (n=40) – больные только АГ (средний возраст – 59,10±1,53 года). Всем пациентам проведено СМАД. Результаты. У пациентов с коморбидностью выявлены следующие особенности суточных показателей артериального давления: увеличение значений среднесуточных и средненочных показателей систолического и среднего артериального давления; существенное повышение индекса нагрузки систолическим, диастолическим и средним артериальным давлением. Также эти больные отличались от пациентов группы сравнения более высокими значениями пульсового давления, имели повышенную вариабельность систолического, диастолического и среднего артериального давления, у них наблюдалось увеличение скорости утреннего подъема артериального давления. Суточная динамика артериального давления у пациентов с ХОБЛ характеризовалась преобладанием патологических типов суточной кривой АД, более высокой частотой профиля night-peaker по сравнению с больными только АГ. Выводы. Выявленные особенности свидетельствуют о высоком риске сердечно-сосудистых осложнений у пациентов с коморбидностью, раннем поражении органов-мишеней и неблагоприятном прогнозе заболевания, что требует дальнейшего изучения особенностей клинического течения АГ у таких больных и индивидуализации антигипертензивной терапии. Ключевые слова: артериальная гипертензия, хроническая обструктивная болезнь легких, суточное мониторирование, артериальное давление.

DESIGN AN “IN HOUSE” SOFTWARE FOR SCREENING PREECLAMPSIA BY MATERNAL FACTORS AND MEAN ARTERIAL PRESSURE AT 11 – 13 WEEKS IN COMMUNE HEALTH CENTERS.

2015 ◽  
pp. 115-126
Author(s):  
Viet Nhan Nguyen ◽  
Ngoc Thanh Cao ◽  
Thi Minh Thi Ha ◽  
Van Duc Vo ◽  
Quang Vinh Truong ◽  
...  
Keyword(s):  
Mean Arterial Pressure ◽  
Arterial Pressure ◽  
Gestational Hypertension ◽  
Area Under The Curve ◽  
Health Centers ◽  
Maternal Factors ◽  
Good Tool ◽  
Uterine Artery Doppler ◽  
Study Results ◽  
In Pregnancy

Objective: Design an “in house” software for screening preeclampsia by maternal factors and mean arterial pressure at 11 – 13 gestational weeks in commune health centers. Methods: Based on the algorithms for calculating the risk of preeclampsia (PE) by maternal factors and mean artirial pressure at 11 - 13 gestational weeks in the study results of the authors, an “in house” software was deigned in Excel. The results of prediction preeclampsia by The Fetal Medicine Foundation (FMF)(version 2.3) were compared with the results by “in house” software in 1110 singleton pregnant women. Results: The “in house” software met the requirements for calculating the risks of PE and save data. FMF risk for gestational hypertension disorder in pregnancy by maternal factors, mean arterial pressure,uterine artery Doppler and PAPP-A has an area under the curve of 0.68 (95%CI: 0.59 – 0.78). The “in house” software risk for gestational hypertension in pregnancy by maternal factors, mean arterial pressure has an area under the curve of 0.643 (0.55 – 0.73) There was no statistically significant different between two programs (p:0.52). The risk cut-off 1:50 in the prediction of gestational hypertension of the “in house” software was used to identify the group of high risk with detetion rate (DR) 28.6% (95%CI: 14.9-42.2) comparing to 40.5% (95%CI:25.6-55.3) of FMF. Conclusion: The FMF version 2.3 is better but in the absence of Doppler ultrasound and PAPP-A test in the commune health cares, the “in house” software for screening PE is a good tool for councelling, following up and early intervention for PE.

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