Thermos Ability in Maintaining Crystalloid Liquid Temperature (Ringer’s Lactate and Normal Saline 0,9%): an Alternative in Maintaining Resuscitation Fluid Temperature

Authors

  • Ninda Saputri Universitas Lambung Mangkurat
  • Abdurrahman Wahid Universitas Lambung Mangkurat
  • Tina Handayani Nasution Universitas Lambung Mangkurat
  • Gia Eka Negara Universitas Lambung Mangkurat

DOI:

https://doi.org/10.21776/ub.jik.2021.009.02.6

Keywords:

Hemorrhagic shock, Ringer lactate, Normal saline 0, 9%, Thermos, Temperature

Abstract

Haemorrhagic shock should be treated with fluid therapy at 390°C to avoid hypothermia. Storage of infusion fluid in a rice thermos is one method to maintain the temperature of the infusion fluid. This study aimed to determine the effect of using a thermos to maintain a temperature of 390C crystalloid liquid (ringer lactate and normal saline 0,9%) at a room temperature of 250C. This research method uses experimental quantitative (pre-experimental) with a one-shot case study design. Six bottles of Ringer's lactate and six bottles of normal saline 0,9% were warmed to 390C, then stored in a rice thermos at 250C and the temperature changes were measured for 6 hours. A digital thermometer was used to take measurements. The Mann-Whitney test was used to analyze the data. The results show that the temperature of Ringer's lactate fluid was reduced by an average of 4,60C, and normal saline was reduced by an average of 4,30C. There was a significant difference in temperature changes in the ringer's lactate fluid and normal saline 0,9% (p=0,000;α=0,05). The results of the study were that the rice thermos was able to maintain the temperature of ringer's lactate fluid at 390C for 96 minutes and normal saline 0,9% for 78 minutes, while to prevent hypothermia (360C) ringer's lactate fluid for 4 hours 59 minutes and normal saline 0,9 % for 4 hours 55 minutes.

Author Biographies

Ninda Saputri, Universitas Lambung Mangkurat

Program Studi Ilmu Keperawatan

Abdurrahman Wahid, Universitas Lambung Mangkurat

Program Studi Ilmu Keperawatan

Tina Handayani Nasution, Universitas Lambung Mangkurat

Program Studi Ilmu Keperawatan

Gia Eka Negara, Universitas Lambung Mangkurat

Program Studi Fisika

References

Agus D, Aryana I G N W. (2017). Gambaran Karakteristik Pasien Fraktur Femur akibat Kecelakaan Lalu Lintas pada Orang Dewasa di Rumah Sakit Umum Pusat Sanglah Denpasar Tahun 2013. E-Journal Medika Udayana, 6(5): 1-4.

Aldo Y, Nova E S. (2015). Hubungan Waktu Tanggap Perawat dalam Penanganan Pasien Fraktur Terbuka dengan Resiko Terjadinya Syok Hipovolemik di IGD RSUD Dr.Achmad Mochtar Bukit Tinggi Tahun 2015. Jurnal Kesehatan Perintis , 2(2): 107-116.

Anwar F. (2017). Ketika Tubuh Kehilangan Darah, Hal Ini yang Akan Terjadi. Retrieved September 18, 2019, from Detik Health: https://health.detik.com/

Asnawati, Suliyanah, Rohmawati L. (2019). Panduan Praktikum Termodinamika. Surabaya: JDS.

Budhyowati M Y N, Jefrey I. Kindangen J I, Aristotulus E. Tungka A E. (2016). Analisis Faktor-Faktor yang Mempengaruhi Beban Penyejukan pada Bangunan yang Menggunakan Sistem Pengkondisian Udara (Studi kasus Gedung Kantor Pusat Politeknik Negeri Manado). Jurnal Arsitektur , 5(1): 116-126.

Cahyono T. (2017). Penyehat Udara. Yogyakarta: ANDI.

Hall JE. (2011). Guyton and Hall: Buku Ajar Fisiologi Kedokteran. Amerika Serikat: Elsevier.

Harahap, anggita M, Rudi K, Ezra O. (2014). Angka Kejadian Hipotermia dan Lama Perawatan di Ruang Pemulihan pada Pasien Geriatri Pasca Operasi Elektif Bulan Oktober 2011-Maret 2012 di Rumah Sakit DR Hasan Sadikin Bandung. Jurnal Anastesi Perioperatif , 2(1): 36-44.

Hardoko E. (2018). WHO: Tiap 24 Detik Satu Orang Tewas akibat Kecelakaan Lalu Lintas. Retrieved September 18, 2019, from Kompas: https://international.kompas.com.

Haynes, William M, et al. (2011). CRC Handbook of Chemistry and Physics. Florida: CRC Press.

Hildebrand F, et al. (2014). Relevance of Induced and Accidental Hypothermia after Trauma-Haemorrhage-What do We Know from Experimental Models in Pigs? Intensive Care Medicine, 2(16): 1-14.

Jane L, Ian D N. (2016). Fluid Management 2016: Surgery 342. Elsevier.

Lewis S R, Pritchard M W, Evans D J W, Butler A R, Alderson P, Smith A F, Roberts I. (2018). Colloids versus Crystaloids for Fluid Resuscitation in Critically ill People. Amerika: Cochrane Library.

Makmur, Suparman. (2018). Manajemen Pendidikan. Makassar: Aksara Timur.

Mane A S. (2017). Fluid Resuscitation: Ringer Lactate Versus Normal Saline-A clinical Study. International Journal of Contemporary Medical Research, 4(11): 2454-7379.

Marscella, Fitri A. (2017). Pengembangan Alat Peraga Fisika Sederhana Berupa Termoskop dan Kipas Angin untuk Pembelajaran Termodinamika. Lampung: Universitas Islam Negeri (UIN) Raden Intan Lampung.

Mommpen P, Zeckey C, Frink M, Krettek C, Hildebrand F. (2012). Akzidentelle Hypothermie beim Polytrauma. Zentralbl Chir, 137(3): 264-269.

NANDA. (2015). Diagnosis Keperawatan Definisi & Klasifikasi 2015-2017. Jakarta: EGC.

Nursalam. (2016). Manajemen Keperawatan (Aplikasi dalam Praktik Keperawatan Profesional). Jakarta: Salemba Medika.

Putri Laili Mei Ari,et al. (2017). Pengaruh Konsentrasi Larutan terhadap Laju Kenaikan Suhu Larutan. Jurnal Pembelajaran Fisika , 6(2): 147-153.

Singleton W, et al. (2017). An Analysis of The Temperature Change in Warmed Intravenous Fluids During Administration in Cold Environments. Air Medical Journal, 36(3): 127-130.

Stewart R M. (2018). Advanced Trauma Life Support Tenth Edition. USA: The Committee on Trauma.

Supu I, Usman B, Basri S, Sunarmi. (2016). Pengaruh Suhu terhadap Perpindahan Panas pada Material yang Berbeda. Jurnal Dinamik, 7(1): 62-73.

Tanaka C, Wiargitha K, Golden N. (2018). Koagulopati Dini sebagai Faktor Resiko Mortalitas pada Trauma Abdomen di Rumah Sakit Sanglah Periode Tahun 2015-2016. Medicina, 49(3): 382-387.

Wirawan, I. M. C. (2017). Berbagai Tips Hidup Sehat dengan Cara Sederhan . Jakarta: Noura Books.

Yanala U R, Johanning J M, Pipinos I I, High R R, Larsen G, Velander W H, Carlson M A. (2018). Fluid Administration Rate for Uncontrolled Intra Abdominal Hemorrhage in Swine. Plos One, 13(11): 1-13.

Yulkifli, Usmeldi, Yohandri, Anggreini. (2017). Pegembangan Thermobalance Digital Berbasis Teknologi Sensor dan Lembar Kerja Peserta Didik Menggunakan Model Research Based Learning. Jurnal Pengajaran Matematika dan Ilmu Pengetahuan Alam, 22(1): 1-5.

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Published

2021-12-02

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