Capability Of Thermos to Maintain The Temperature of Ringer Lactate and Normal Saline 0.9% at 18C : An Alternative to Maintain The Temperature of The Resuscitation Fluid
Rifda Nur Achriyana Arif 1, Abdurahman Wahid 1, Ifa Hafifah 1, Gian Eka Negara 2

1. School Of Nursing, Faculty Of Medicine, Lambung Mangkurat University, Indonesia
2. School Of Physics, Faculty Of Math & Science, Lambung Mangkurat University, Indonesia

Abstract

Background: Fluid resuscitation is needed to treat hemorrhagic shock patient, but cold fluid resuscitation can cause hypothermia, so that efforts are needed to provide 39C fluids. One of the media to maintain temperature is a thermos.
Purpose : The purpose of this research is to determine the capability of using the flasks in maintaining the temperature of 39C crystalloid fluids (Ringer Lactate and normal saline 0.9%) at 18C.
Method : The method was pre-experimental research design with One Shoot Case Study type. 12 bottle crystalloid liquid was warmed to 39C, then put into 2 rice flasks, and temperature changes were measured for 6 hours at AC temperature 18C. The study was conducted on 30 November 2019.
Result : The results there was a decrease temperature in 6 bottles of RL liquid by 6.8 - 7.4C and decrease temperature in 6 bottles of NS 0,9% liquid by 5.3C - 6.4C. Thermos has the ability to maintain a temperature of 39C for about 1 hour, and is able to prevent hypothermia from reaching 36C for about 3 hours. Statistical results using the Mann-Whitney p-value is 0,000, it was concluded that there was a significant difference between changes in temperature of lactate Ringers fluid and normal saline 0,9%.
Conclusion : This flasks is able in maintaining the temperature of 39C crystalloid fluids and certainly can be applied to patients with hemorrhagic shock who come to the emergency room to facilitate mobilization and do not need to use electric.

Keywords: Crystalloid fluids, flask, hemorrhagic shock, temperature.

Topic: Disaster, Emergency, Intensive and Critical Care Nursing