Manajemen Nyeri Akut pada Pasien dengan Batu Ureter Level UVJ dan Batu Ginjal Dextra

  • Ana Khumaeroh Universitas Indonesia
  • Lestari Sukmarini Universitas Indonesia

Abstract

This study aims to identify the effectiveness of collaborative interventions providing analgesic therapy of the Nonsteroidal Anti-Inflammatory Drugs (NSAID) class in treating acute pain problems in patients with ureteral stones and right kidney stones. The method used is a single case study of patients with grade II & IV right hydronephrosis and right hydroureter ecausa distal ureterolithiasis UVJ level and right nephrolithiasis. The results showed that administering the NSAID class of analgesic therapy was effective as the first therapy for acute pain problems. Nurses have an important role in implementing collaborative interventions in administering analgesics, namely conducting pain assessments, assessing patient history, monitoring pain scales, observing patient responses to administering analgesics and helping patients improve comfort. In conclusion, the collaborative intervention of providing NSAID-class analgesics is effective in treating acute pain in patients with ureteral and kidney stones. 

Keywords: Dextra Kidney Stones, Ureteral Stones, Acute Pain, NSAID Therapy

References

Dion, M., Ankawi, G., Chew, B., Paterson, R., Sultan, N., Hoddinott, P., & Razvi, H. (2016). CUA Guideline on the Evaluation and Medical Management of the Kidney Stone Patient 2016 Update. Canadian Urological Association Journal, 10(11-12), 347-358. https://doi.org/10.5489/cuaj.4218

Du, C. (2021). The Symptoms and Diagnosis of Urolithiasis. Medical & Surgical Urology. https://www.longdom.org/open-access/the-symptoms-and-diagnosis-of-urolithiasis.pdf

Glazer, K., Brea, I. J., & Vaitla, P. (2022). Ureterolithiasis. StatPearls Publishing LLC. https://www.ncbi.nlm.nih.gov/books/NBK560674/?report=classic

Gottlieb, M., Long, B., & Koyfman, A. (2018). The Evaluation and Management of Urolithiasis in the ED: A Review of the Literature. The American Journal of Emergency Medicine, 36(4), 699–706. https://doi.org/10.1016/j.ajem.2018.01.003

Leng, X. Y., Liu, C. N., Wang, S. C., Peng, H. D., Wang, D. G., & Pan, H. F. (2022). Comparison of the Efficacy of Nonsteroidal Anti-Inflammatory Drugs and Opioids in the Treatment of Acute Renal Colic: A Systematic Review and Meta-Analysis. Frontiersin Pharmacology, 12, 1–15. https://doi.org/10.3389/fphar.2021.728908

Liu, Y., Chen, Y., Liao, B., Luo, D., Wang, K., Li, H., & Zeng, G. (2018). Epidemiology of Urolithiasis in Asia. Asian Journal of Urology, 5(4), 205–214. https://doi.org/10.1016/j.ajur.2018.08.007

Neme, A., Nemera, G., & Bekele, G.. (2019). Nurses Pain Management Competency and Associated Factors among Nurses Working in Public Hospitals, Jimma Zone, Aromia Regional State, Southwest Ethiopia. Clinical Practice, 16(1), 1035-1049. https://doi.org/10.4172/clinical-practice.1000444

Pathan, S. A., Mitra, B., & Cameron, P. A. (2018). A Systematic Review and Meta-Analysis Comparing the Efficacy of Nonsteroidal Anti-Inflammatory Drugs, Opioids, and Paracetamol in the Treatment of Acute Renal Colic. European Urology, 73(4), 583-595. https://doi.org/10.1016/j.eururo.2017.11.001

Rasyid, N., Duarsa, G. W. K., & Atmoko, W. (2018). Panduan Penatalaksanaan Klinis Batu Saluran Kemih. Edsisi Pertama. Ikatan Ahli Urologi Indonesia (IAUI). https://www.studocu.com/id/document/institut-manajemen-koperasi-indonesia/koperasi/buku-panduan-penatalaksanaan-batu-saluran-kemih/14034031

Saeed, S., Ullah, A., Ahmad, J., & Hamid, S. (2020). The Prevalence of Incidentally Detected Urolithiasis in Subjects Undergoing Computerized Tomography. Cureus, 12(9), 1–9. https://doi.org/10.7759/cureus.10374

Tim POKJA SDKI DPP PPNI. (2017). Standar Diagnosis Keperawatan Indonesia Definisi dan Indikator Diagnostik. Jakarta: Persatuan Perawat Nasional Indonesia

Taguchi, K., Cho, S. Y., Ng, A. C. F., Usawachintachit, M., Tan, Y. K., Deng, Y. L., Shen, C. H., Gyawali, P., Alenezi, H., Basiri, A., Bou, S., Djojodemedjo, T., Sarica, K., Shi, L., Singam, P., Singh, S. K., & Yasui, T. (2019). The Urological Association of Asia Clinical Guideline for Urinary Stone Disease. International Journal of Urology, 26(7), 688–709. https://doi.org/10.1111/iju.13957

Thakore, P., & Liang, T. H. (2022). Urolithiasis. StatPearls Publishing LLC. https://www.ncbi.nlm.nih.gov/books/NBK559101/?report=printable

Türk, C., Neisius, A., Petrik, A., Seitz, C., Skolarikos, A., Tepeler, A., Thomas, K., Dabestani, S., Drake, T., Grivas, N., & Ruhayel, Y. (2017). EAU Guidelines on Urolithiasis. European Association of Urology. http://medi-guide.meditool.cn/ymtpdf/74B43E09-F95C-37E1-A8A2-25D53A8130AC.pdf
Published
2022-12-31
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