VIDEO PRAKTEK KEPERAWATAN (EPISODE 4 I TERAPI NEBULIZER)

APPSKEP
21 Apr 202009:45

Summary

TLDRThis video tutorial from the YouTube channel 'Escape Indonesia' offers a comprehensive guide on administering nebulizer therapy to patients. It covers the essential steps, including preparing the nebulizer machine, checking patient orders, and ensuring the patient is in a comfortable position. The video demonstrates how to assemble the equipment, add medication, and instruct the patient on proper breathing techniques during therapy. It also emphasizes the importance of monitoring the patient for side effects and documenting the treatment process. The host encourages viewers to subscribe for more healthcare-related content and engage with the community.

Takeaways

  • 🌟 The video is an educational tutorial on how to administer nebulizer therapy to patients.
  • 💡 Nebulizer therapy involves converting liquid medication into small particles that can be inhaled directly into the patient's respiratory tract or lungs.
  • 🔍 The primary objectives of nebulizer therapy are to deliver medication directly to the patient's airways, clear secretions, optimize lung capacity, and alleviate shortness of breath.
  • 📋 Before starting the therapy, it's crucial to check the doctor's orders and identify the patient to ensure the correct individual receives the treatment.
  • 🩺 The patient's pulse or heart rate should be monitored before and after administering bronchodilators.
  • 💊 The necessary equipment for nebulizer therapy includes a nebulizer machine, oxygen tubing, a mouthpiece or mask, medication as prescribed, and cleaning supplies.
  • 🧑‍⚕️ The patient should be positioned comfortably, ideally in a semi-Fowler position, to facilitate the therapy.
  • 🌬️ During the therapy, the patient is instructed to breathe in the medication deeply and slowly through the mouth, holding the breath and exhaling through the nose.
  • 🗝️ After the therapy, it's important to observe the patient for any side effects from the medication and to document the procedure, including the medication used and any secretions expelled.
  • 🧼 Lastly, the nebulizer equipment must be properly cleaned and stored according to the standard operating procedures of the institution.

Q & A

  • What is the purpose of nebulizer therapy?

    -The purpose of nebulizer therapy is to deliver liquid medication in the form of small particles directly into a patient's respiratory tract or lungs through inhalation, with the aim of directly administering medication to the airways or lungs, clearing secretions, optimizing lung capacity, and relieving shortness of breath.

  • What are the necessary equipment for nebulizer therapy?

    -The necessary equipment for nebulizer therapy includes a nebulizer machine, oxygen tubing with a connector, a nebulizer mask or mouthpiece, medication as prescribed by a doctor, and tissues or a waste bag for disposing of used medication.

  • How should a patient be positioned during nebulizer therapy?

    -A patient should be positioned comfortably, preferably in a semi-Fowler position, to facilitate optimal inhalation of the medication during nebulizer therapy.

  • What is the significance of checking the patient's pulse before and after administering bronchodilators?

    -Checking the patient's pulse before and after administering bronchodilators is crucial to monitor the patient's heart rate and ensure that there are no adverse reactions to the medication.

  • How should the nebulizer mask be fitted on the patient's face?

    -The nebulizer mask should be fitted to cover both the patient's nose and mouth, ensuring a tight seal to facilitate proper inhalation of the medication.

  • What instructions should be given to the patient during nebulizer therapy?

    -Patients should be instructed to breathe in slowly and deeply through their mouth, hold their breath for a few seconds, and then exhale slowly. They should be encouraged to breathe in as much medication as possible.

  • What should be observed during the therapy to ensure the medication is being inhaled correctly?

    -During the therapy, it is important to observe the patient's chest rise to ensure they are inhaling the medication correctly and to monitor for any side effects or discomfort.

  • What is the recommended action for the patient after completing nebulizer therapy?

    -After completing nebulizer therapy, patients are advised to cough to help clear any remaining medication from their airways.

  • How should side effects be monitored and documented after nebulizer therapy?

    -Side effects should be monitored by observing the patient for any changes in condition after the therapy. Any side effects or secretions should be documented, including the type and amount of medication used.

  • What is the procedure for cleaning and storing the nebulizer equipment after use?

    -After use, the nebulizer equipment should be disassembled, cleaned according to the manufacturer's instructions, and stored in a clean and dry place. The tubing can be replaced every 24 hours as per the standard operating procedures of the institution.

  • Why is it important to explain the procedure to the patient before starting nebulizer therapy?

    -Explaining the procedure to the patient helps to ensure they understand what will happen during the therapy, reduces anxiety, and increases cooperation, which can improve the effectiveness of the treatment.

Outlines

00:00

🌟 Introduction to Nebulizer Therapy

The video begins with a host introducing the topic of nebulizer therapy, a method of administering liquid medication to patients by converting it into small particles that can be inhaled directly into the respiratory tract or lungs. The host encourages viewers to subscribe to the YouTube channel 'Escape Indonesia' and turn on notifications for new video updates. The video aims to educate viewers on the process of nebulizer therapy, its purpose, and the necessary equipment involved, which includes a nebulizer machine, oxygen tubing, a mask, and medication prescribed by a doctor.

05:03

💡 Demonstration of Nebulizer Therapy Procedure

The second paragraph of the script details a step-by-step demonstration of how to administer nebulizer therapy. It starts with checking the doctor's orders and identifying the patient, ensuring the patient's pulse is monitored before and after the therapy. The host explains the procedure to the patient, positioning them comfortably, typically in a semi-Fowler position. The nebulizer equipment is prepared, the medication is added, and the patient is instructed to inhale the medication through a mask covering their nose and mouth. The therapy involves the patient inhaling deeply and exhaling slowly, with the goal of maximizing lung capacity and relieving shortness of breath. After the therapy, the patient is advised to cough to clear any secretions, and any side effects are monitored. The video concludes with instructions for cleaning and storing the nebulizer equipment and documenting the therapy process.

Mindmap

Keywords

💡Nebulizer

A nebulizer is a medical device used to administer medication in the form of a mist inhaled into the lungs. In the context of the video, it is the central focus of the therapy discussion, where the script describes the process of setting up and using a nebulizer for patients. The script mentions checking the nebulizer machine and connecting it with other necessary equipment to deliver the medication.

💡Therapy

Therapy, in this script, refers to the medical treatment process involving the use of a nebulizer. The video discusses the steps and procedures for conducting nebulizer therapy, emphasizing the importance of correct administration to ensure the medication reaches the patient's respiratory system effectively.

💡Inhalation

Inhalation is the process of breathing in air or other substances. In the video, it is crucial as the method by which the medication is delivered to the patient's lungs via the nebulizer. The script instructs on ensuring the patient inhales the medication properly, highlighting the importance of breathing techniques during the therapy.

💡Bronchodilator

A bronchodilator is a type of medication that helps to widen the airways in the lungs, making it easier to breathe. In the script, it is mentioned as a medication that may be administered via a nebulizer to patients, and the script emphasizes checking the patient's pulse before and after the administration of bronchodilators.

💡Pulse

Pulse refers to the rhythmic beating of the heart that can be felt in the arteries, and it is a vital sign checked during medical procedures. The video script mentions monitoring the patient's pulse before and after the administration of bronchodilators as part of the therapy process to ensure the patient's safety.

💡Secretions

Secretions in the context of the video refer to the mucus or fluid produced by the respiratory system. The script discusses the nebulizer therapy's aim to clear secretions and optimize lung capacity, indicating that one of the goals of the therapy is to help the patient expel or manage these secretions.

💡Positioning

Positioning in the script refers to the physical arrangement of the patient's body during the therapy. The video mentions that the patient should be positioned comfortably, possibly in a semi-Fowler position, to facilitate the inhalation of the medication. Proper positioning is essential for the effectiveness of the nebulizer therapy.

💡Medications

Medications are the substances used to treat health conditions. In the video, they are the substances that are converted into a mist by the nebulizer and inhaled by the patient. The script specifies that the medication should be added to the nebulizer according to the doctor's order or prescription.

💡Observation

Observation in the medical context involves monitoring a patient's condition and response to treatment. The video script includes observation as a step in the nebulizer therapy process, where the healthcare provider watches for the patient's breathing and any side effects after the therapy.

💡Documentation

Documentation is the process of recording medical information, treatments, and patient responses. In the script, it is mentioned as a final step after the therapy, where the healthcare provider documents the medication given, the amount, and any side effects or secretions expelled by the patient, which is important for medical record-keeping and patient care.

Highlights

Introduction to the method of nebulizer therapy and a reminder to subscribe to the YouTube channel for notifications.

Definition of nebulizer therapy as a process of administering liquid medication converted into small particles for direct inhalation into the patient's respiratory system.

Purposes of nebulizer therapy include direct drug delivery to the airways, clearing secretions, optimizing lung capacity, and relieving shortness of breath.

List of equipment needed for nebulizer therapy, including the nebulizer machine, oxygen tubing, medication, and a mask.

Demonstration of the practical steps to perform nebulizer therapy on a patient.

Importance of checking the doctor's order and identifying the patient before therapy.

Explanation of monitoring the patient's pulse before and after administering bronchodilators.

Instructions on explaining the procedure, its purpose, and expected outcomes to the patient.

Recommendation of a comfortable semi-Fowler position for the patient during therapy.

Preparation of the nebulizer equipment and medication according to the prescription.

Instructions on how to assemble the nebulizer, connect it to the oxygen supply, and load the medication.

Communication with the patient on the importance of deep and slow breathing for effective therapy.

Emphasis on the patient inhaling through the nose and exhaling through the mouth during therapy.

Observation of the patient's breathing and chest movement to ensure proper inhalation of the medication.

Post-therapy instructions to the patient, including deep breathing and coughing to clear the lungs.

Monitoring for side effects after the therapy and documenting the patient's response to the medication.

Cleaning and sanitizing the nebulizer equipment according to standard operating procedures.

Summary of the nebulizer therapy process, including patient identification, doctor's instructions, and post-therapy observations.

Invitation for viewers to join a preparatory course for nursing exams and a reminder to subscribe and engage with the video content.

Transcripts

play00:00

di Indonesia kita Batak skep Indonesia

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jumpa lagi dengan suci di channel

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YouTube Escape Indonesia untuk kali ini

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kita akan membahas mengenai tata cara

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pemberian terapi Nebulizer namun sebelum

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itu silahkan bagi temen temen yang belum

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subscribe Silahkan di subscribe channel

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kita dan dilakukan tombol loncengnya

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agar teman teman gak patkan notifikasi

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setiap Anda video baru yang kita upload

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jangan lupa juga untuk like dan di share

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video ini agar informasi yang kita

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berikan di video ini menyebar dan

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berguna untuk teman-teman yang lainnya

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Oke rekan-rekan Sebelum kita mulai ke

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tata cara bagaimana memberikan terapi

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Nebulizer kita ada baiknya tahu dulu apa

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sih terapi Nebulizer tersebut nah

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terakhir ya bulldozer adalah suatu

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tindakan yang kita lakukan kepada pasien

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yaitu dengan memberikan obat cair yang

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diubah menjadi partikel-partikel

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kecil sehingga bisa langsung masuk ke

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saluran pernafasan pasien atau paru-paru

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pasien melalui inhalasi tujuannya Apa

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tujuannya adalah yang pertama memasukkan

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obat secara langsung ke saluran nafas

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pasien atau ke paru-paru pasien yang

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kedua untuk mengecek kan Secret yang

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ketiga untuk mengoptimalkan Kapasitas

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vital paru-paru dan yang keempat adalah

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Untuk meringankan sesak nafas pada

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pasien nah gimana nih cara untuk

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melakukan terapi Nebulizer selalu itu

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kita cek dulu apa aja alat-alat yang

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kita butuhkan untuk melakukan terapi

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tersebut alatnya adalah ini dia

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alat-alat untuk melakukan terapi

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Nebulizer nah Apa saja alat yang kita

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butuhkan alat yang kita butuhkan pertama

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tentu saja mesinnya blazernya anak kita

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gunakan yang seperti ini di sini kalau

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untuk modelnya itu tergantung dari

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istitusi masing-masing lalu kita juga

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pasti butuh selang oksigen

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yang disertai dengan sungkupnya yang ada

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tempat untuk memasukkan obatnya di sini

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rekan-rekan ya lalu kita butuh obatnya

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sesuai dengan order atau instruksi

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dokter lalu kita juga butuh bengkok

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untuk membuang saatnya pasien ada

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dahaknya atau Limbong tisu ataupun

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membuang sampah bekas tobat Oke ini

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adalah alat-alat untuk terapi Nebulizer

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Sekarang kita akan mempraktekkan

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Bagaimana cara melakukan terapi

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Nebulizer pada facies Sekarang kita akan

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mulai memperagakan Bagaimana cara

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melaksanakan terapi Nebulizer yang

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rekan-rekan ya di sini kita udah ada

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Sandra terjadi pasien saya lo Sandra oke

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nah disini sebelum kita melakukan terapi

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tentu saja kita cek order dokter dulu

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dan kita identifikasi pasien Apakah

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pasien ini benar pasien yang akan kita

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berikan terapi Nebulizer Nah setelah

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kita pastikan pasien kita akan pantau

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denyut nadi pasien atau jantung pasien

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jadi pada pasien-pasien yang kita

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berikan bronkodilator

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kau itu arti Periksa denyut nadi sebelum

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dan sesudah pemberian bronkodilator Nah

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setelah kita pastikan bahwa pasien

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sekarang bisa diberikan bronkodilator

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selanjutnya kita akan Jelaskan prosedur

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pada pasien apa yang kita Jelaskan kita

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Jelaskan apa yang akan kita lakukan

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tujuannya dan hasil apa yang kita

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inginkan setelah tindakan tersebut

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selanjutnya kita berikan posisi nyaman

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pada pasien di sini disarankan ada

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posisi semi fowler tapi kita berikan

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pleci senyaman mungkin pada pasien nah

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disini posisi Sandra udah nyaman

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udah-udah semifowler kita akan

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memberikan terapi Nah kita siapkan dulu

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alatnya setelah siap Kita buka sungkup

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kita Oke kita buka

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hai lalu kita rangkai dulu Serangkai

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a Strange Iya daftarkan nah ini kita

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sambungkan yang telah kita rangkai

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seperti ini kita masukkan dulu obatnya

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kita masukkan temen-temen ya kita putar

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lalu kita masukkan obatnya meski tak

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pasang pastikan mereka dengan benar

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Minggu kita Sambungkan ke Selangnya

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Sambungkan ke alat Nebulizer sini mulai

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share-nya selanjutnya kita komunikasikan

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pada pasien akan kita pasangkan sungkup

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dan catatan teman-teman terapi Nebulizer

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Ini hasilnya ada tergantung dari usaha

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pasien jadi kita tekan kan pada

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pasien-pasien harus melakukan ventilasi

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atau bernafas Maxim semaksimal mungkin

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selalu dihirup gas atau asap Tengah

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bahasanya asap Biasanya kita sama pasien

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agar asam yaitu dihirup Nah selanjutnya

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kita pasang oke

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ini baik nih bantuin nah disini teman

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teman kita lihat di sini maskernya harus

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menutupi hidung dan mulut pasien jangan

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lupa lagi dikomunikasikan pada pasien

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untuk dihirup lewat hidung dan

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dikeluarkan lewat mulut Oke kita akan

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memberikan terapi Nebulizer nya sekarang

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kita hidupkan mesinnya rekan-rekan ya

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Nah saat kita hidupkan asapnya sudah

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keluar kita perhatikan Apakah pasien itu

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menarik nafas dengan memperhatikan ada

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pasien kita tengok perkembangan ada

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pasien untuk memastikan Apakah pasien

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menghirup obat dengan benar dan

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instruksikan juga pada pasien untuk

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bernafas pelan dan dalam sampai obatnya

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habis setelah terapinya selesai kita

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matikan alatnya lalu kita komunikasi

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kepada pasien bahwa sudah selesai kita

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buka sungkupnya kita ajarkan pada pasien

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untuk menarik nafas dalam setelah teknik

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nafas dalam kita sarankan pasien untuk

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batuk setelah pasien batu

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yuk nah kita amati kitab servasi pasien

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apakah ada efek samping dari penggunaan

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bronkodilator atau obat pada pasien lalu

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kita seperti tadi kita observasi nadinya

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nah sebelum dan sesudah tadi ya kita

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Jelaskan Lalu setelah itu kita catat

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kita dokumentasikan tindakan yang kita

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lakukan termasuk obat yang diberikan

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Berapa banyak dan apa efek samping atau

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sekret apabila pasien mengeluarkan

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sekret Nah selanjutnya kita bereskan

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peralatan sampai Selatan kita lalu kita

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buang bekas selang bekas tadi ke tempat

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sampah yang sesuai sesuai dengan SOP di

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institusi masing-masing Setelah itu kita

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cuci tangan prosedur melakukan terapi

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nebulisasi yang pertama identifikasi

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pasien dan periksa instruksi dokter dan

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rencana asuhan keperawatan

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kita udah jantung sebelum dan sesudah

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terapi pada pasien yang memakai obat

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bronkodilator Jelaskan prosedur pada

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pasien terapi ini bergantung pada usaha

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pasien posisikan pasien pada posisi

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duduk yang nyaman atau posisi semi

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fowler tambahkan obat NaCl atau air

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steril sesuai dosis yang diresepkan ke

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dalam Nebulizer sambungkan selang ke

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kompresor akan terlihat wap halus keluar

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dari alat yang keenam pasang sungkup

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pada wajah pasien untuk menutupi mulut

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dan hidungnya serta instruksikan pasien

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untuk menarik nafas dalam dan perlahan

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lewat mulut tahan nafas kemudian

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hembuskan nafas beberapa kali tujuh

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amati pengembangan dada untuk memastikan

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pasien merarik nafas dalam delapan

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instruksikan pasien untuk bernafas

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perlahan dan dalam subjek 8 instruksikan

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pasien untuk bernafas perlahan dan dalam

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sampai semua obatnya habis di nebulisasi

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9 setelah

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terapi anjurkan pasien untuk batuk

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setelah beberapa tarikan nafas dalam 10

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amati pasien apakah ada efek samping

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akibat terapi 11 catat obat-obat yang

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digunakan dan jelaskan Secret yang

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dikeluarkan 12 Bongkar dan bersihkan

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Nebulizer setiap selesai digunakan

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simpan alat di kamar pasien dan selang

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dapat diganti setiap 24 jam terakhir

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cuci tangan oke teman-teman itu tadi

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adalah video tentang tata cara bagaimana

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melakukan terapi Nebulizer pada pasien

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nah jika teman-teman ada pertanyaan

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silahkan ditinggalkan di kolom komentar

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kita dan jika masih ada pertanyaan yang

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lebih banyak atau teman-teman ingin

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mempersiapkan diri untuk Umi atau juga

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untuk tes CPNS atau untuk persiapan ukom

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D3 Keperawatan ataupun D3 Kebidanan

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silahkan gabung sama bimbelkita dan

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informasi lebih lanjut teman-teman bisa

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cek di Instagram except the

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Hai dan tidak lupa juga suci Ingatkan

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bagi teman-teman yang belum subscribe

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Silahkan di subscribe channel kita dulu

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lalu di aktifkan tombol loncengnya agar

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teman teman gak patkan notifikasi di

play09:08

setiap ada video baru yang kita upload

play09:11

Jangan lupa untuk di like dan di share

play09:14

video ini agar informasi yang kita

play09:16

berikan di video ini didapatkan oleh

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teman-teman kita yang lainnya oke sekian

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pertemuan kita kali ini sampai jumpa di

play09:25

video selanjutnya itu apa ya

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