Analysis of Nursing Care in a Patient with Respiratory Failure Due to Chronic Obstructive Pulmonary Disease (COPD): The Effect of Suction Intervention on Oxygen Saturation in the ICU of Welas Asih Hospital (2025)
DOI:
https://doi.org/10.31004/joecy.v6i1.8678Keywords:
Respiratory failure, COPD, Suction, oxygen saturation, critical nursing careAbstract
Respiratory failure is an emergency condition caused by the inability of the respiratory system to maintain adequate gas exchange. One of the main causes of chronic respiratory failure is Chronic Obstructive Pulmonary Disease (COPD), characterized by progressive and not fully reversible airflow limitation. In COPD patients treated in the ICU with mechanical ventilation, retained secretions may decrease oxygen saturation. Suction intervention is required to maintain airway patency and improve oxygenation. Objective: To describe the analysis of nursing care in patients with respiratory system disorders due to respiratory failure caused by COPD through the application of suction intervention to improve oxygen saturation in the ICU. Methods: This study used a descriptive analytic method with a case study approach involving one patient in the ICU. Data were collected through observation, interviews, physical examination, documentation review, and literature study. The primary intervention applied was suction according to standard operating procedures. Results: The results showed an increase in oxygen saturation levels after suction was performed. Before the intervention, the patient experienced decreased oxygen saturation accompanied by thick airway secretions. After controlled and aseptic suctioning, oxygen saturation improved and breathing patterns became more effective. Conclusion: The application of suction intervention in patients with respiratory failure due to COPD is effective in increasing oxygen saturation and maintaining airway patency. This intervention should be performed properly according to procedures to prevent complications and support patient stabilization in the ICU.
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