KOMBINASI TERAPI FARMAKOLOGI DAN POSISI HEAD UP 30° PADA PASIEN DENGAN PENURUNAN KAPASITAS ADAPTIF INTRAKRANIAL POST CRANIOTOMY CIDERA KEPALA DAN TUMOR OTAK

Patients with post craniotomy in the intensive care unit (ICU) for indications of brain tumors and epidural hematoma requires intensive monitoring to overcome the problem of decreased intrakranial adaptive capacity which can affect the patient's level of consciousness and hemodynamic stability. This research aims to identify nursing actions in assigning positions head up 30° in
patients with reduced intrakranial adaptive capacity post Craniotomy head injury (EDH) and brain tumor in the ICU room at Kanjuruhan Regional Hospital. This research is a case report (case study). The research subjects were 2 respondents with a medical diagnosis of Brain Tumor (Meningioma) And Epidural Hematoma (EDH) with problems of reduced intrakranial adaptive capacity. Implementation of 30° head up position. The outcome of this
implementation is increasing the GCS score or patient's level of consciousness and hemodynamic stability (BP, pulse and respiratory function). The results of the research analysis after implementation for 3 x 24 hours in the ICU showed
an increase in awareness and stability of vital signs such as improved blood pressure, MAP within normal limits of 70-100 mmHg, improved pulse pressure, improved respiratory frequency, apart from that it was also found that an increase in oxygen saturation leads to normal values of oxygen
saturation of 95-100%, as well as pupillary light reactions that are not slow in patients with reduced intrakranial adaptive capacity.