Abstract :
Luka bakar adalah suatu bentuk kerusakan dan kehilangan jaringan
disebabkan kontak dengan sumber suhu yang sangat tinggi seperti kobaran api di tubuh (flame),
jilatan api ke tubuh (flash), terkena air panas (scald), tersentuh benda panas, akibat serangan
listrik, akibat bahan kimia, serta sinar matahari (sunburn) dan suhu yang sangat rendah
(frostbite). Resusitasi cairan pada luka bakar bertujuan untuk mempertahankan perfusi secara
keseluruhan dan mengontrol inflamasi sistemik masif serta hipovolemik cairan intravaskular
dan ekstravaskular.
Metode : Penelitian ini berupa studi kasus yang dilakukan pada satu pasien dalam waktu
kutrang dari 24 Jam dengan manajemen Hipovolemia berupa resusitasi cairan
Hasil : Setelah tindakan meanajemen hipovolemia dengan resusitasi cairan dan manajemen
nyeri yaitu Ny. Y dengan masalah luka bakar derajat II berhubungan dengan kegagalan
mekanisme regulasi dengan hasil resusitasi dapat mencegah terjadinya syok ireversibel dengan
menggantikan cairan dan elektrolit yang hilang.
Rekomendasi : Perlunya dilakukan pada beberapa pasien dengan pemantauan hasil yang lebih
lama.
Kesimpulan : Manajemen Hipovolemia pada pasien Luka bakar derajat II di IGD RSUD
Labuang Baji Makassar dengan Penatalaksanaan Resusitasi cairan mampu mengembalikan
suhu normal dan mengembalikan organ vital secara normal.
Burns are a form of tissue damage and loss caused by contact with a very high
temperature source such as flames on the body (flame), flames licking the body (flash),
exposure to hot water (scald), contact with hot objects (hot contact), due to electrical attacks,
due to chemicals, as well as sunlight (sunburn) and very low temperatures (frostbite). Fluid
resuscitation for burns aims to maintain overall perfusion and control massive systemic
inflammation and hypovolemia of intravascular and extravascular fluids.
Methods: This study is a case study conducted on one patient in less than 24 hours with
Hypovolemia management in the form of fluid resuscitation.
Results: After the management of hypovolemia with fluid resuscitation and pain management,
Mrs. Y had a second degree burn problem related to the failure of the regulatory mechanism
with the result that resuscitation could prevent irreversible shock by replacing lost fluids and
electrolytes.
Recommendations: It is necessary to perform this in some patients with longer monitoring of
the results.
Conclusion: Hypovolemia Management in Patients with Second Degree Burns in the
Emergency Room of Labuang Baji Hospital Makassar with Fluid Resuscitation Management
and where the fulfillment of fluids in patients with second degree burns and able to restore
normal temperature and restore vital organs normally.