CHARACTERISTICS OF THE USE OF ANALGESICS AND MEDICINES IN CRITICAL PATIENTS TREATED AT INTENSIVE CARE UNIT RSUP DR MOHAMMAD HOESIN

ANGGANI, INDIRA HAZLIANA and Lestari, Mayang Indah and Pariyana, Pariyana (2021) CHARACTERISTICS OF THE USE OF ANALGESICS AND MEDICINES IN CRITICAL PATIENTS TREATED AT INTENSIVE CARE UNIT RSUP DR MOHAMMAD HOESIN. Undergraduate thesis, Sriwijaya University.

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Abstract

Critical patients who are admitted to the ICU are given analgesics and sedatives to reduce pain and agitation during treatment. There are no data on the characteristics of analgesic and sedative use in critical patients, so researchers are looking for the characteristics of analgesic and sedative use in the ICU Dr. Mohammad Hoesin. This is a descriptive observational study with a cross-sectional design. This study analyzed 111 treated patients who met the inclusion criteria. Results: Of the 111 patients treated in the ICU Dr. Mohammad Hoesin, the average age of patients admitted to the ICU was 50 years (medical) and 55 years (surgical), 56 female patients (50.5%) and 55 male patients (49.5%). Patients requiring sedative and analgesic therapy, patients with long length of stay and use of mechanical ventilation, patients with a SOFA score of 19 and a high Charlson Comorbidity Score, namely tracheostomy patients, patients with GCS level of consciousness <6, and patients with secondary infection. The analgesics that were widely used were paracetamol (66.1%), morphine (38.7%), fentanyl (45.2%), and ketorolac (11.8%). The sedatives used were dexmedetomidine (43.6%), propofol (36%), midazolam (29%), and ketamine (3.2%). The NRS 3 pain scale was 11 patients (5.9%) and the CPOT 4 scale was 47 patients. The side effect recorded was too deep sedation and exceeded the target (> 2), namely Ramsay 3 in 41 patients (36.9%).The analgesics that are widely used are paracetamol (66.1%), morphine (38.7%), fentanyl (45.2%), and ketorolac (11.8%). The sedatives used were dexmedetomidine (43.6%), propofol (36%), midazolam (29%), and ketamine (3.2%).

Item Type: Thesis (Undergraduate)
Uncontrolled Keywords: Analgesik, Obat sedatif, intensive care unit
Subjects: R Medicine > RM Therapeutics. Pharmacology > RM300-666 Drugs and their actions
Divisions: Faculty of Medicine > 11201-Medicine (S1)
Depositing User: Indira Hazliana Anggani
Date Deposited: 13 Jan 2021 07:51
Last Modified: 13 Jan 2021 07:51
URI: http://repository.unsri.ac.id/id/eprint/39973

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