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PENATALAKSANAAN RESIKO SYOK HIPOVOLEMIK DAN RESIKO TRAUMA INHALASI PADA TN. S DENGAN COMBUSTIO DERAJAT II DI INSTALASI GAWAT DARURAT RUMAH SAKIT ADVENT BANDUNG

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ABSTRACT RISK OF HYPOVOLEMIC SHOCK AND RISK OF INHALATION TRAUMA MANAGEMENT ON MR. S. WITH COMBUSTIO SECOND DEGREE IN EMERGENCY BANDUNG ADVENTIST HOSPITAL Kristian Tampubolon NIM: 1753003 In Indonesia the mortality rate of burns is around 40%, mainly due to severe burns, where the cause of death in the acute phase (first 48 hours) is shock burns and inhalation injury (Brusselaers, 2010). Based on the assessment, Mr. S came to Bandung Adventist Hospital caused by severe burns 2nd degree with 75% area, which are on the face, neck, chest, abdomen, both hands and both feet, nose and eyebrows are burning. Nursing diagnoses that arise are the risk of ineffectiveness of the airway and the risk of fluid volume deficiency, and followed by the diagnosis of painful comfort disorders and the risk of hypothermia. The Interventions that has been given are fluid resuscitation, corticosteroid’s drug treatment and analgesics. The risk of hypothermia is overcome by giving heating lamps and extra blankets. After being given the nursing intervention and the results are the pain had been decreased, the airway remains in an effective state, there were no sign of Hypovolemic shock, and the patient still felt cold without shivering. Based on these results it can be concluded that the intervention has not been fully successful, so it is necessary to maintain the intervention so that the goal of nursing care is achieved. Keywords: Burns, Shock of Burns, Inhalation Injury.