THERMOS ABILITY IN MAINTAINING CRYSTALOID LIQUID TEMPERATURE (RINGER^S LACTATE AND NORMAL SALINE 0,9%): AN ALTERNATIVE TO KEEP RESUSITATION FLUID TEMPERATURE
Ninda Saputri 1, Abdurahman Wahid 1, Tina Handayani Nasution 1, Gian Eka Negara 2

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

Abstract

Management of hemorrhagic shock, which is performing fluid therapy with a temperature of 39C, is highly recommended to prevent hypothermia. Required methods for maintaining intravenous fluids, including the use of rice flasks. This study aims to determine the effect of using a flask to maintain the temperature of 39C crystalloid fluids (ringer^s lactate and normal saline 0,9%) at room temperature 25C. This research method is quantitative experimental (pre-experimental) with the type of one-shot case study design. 6 bottles of ringer^s laktate liquid and 6 bottles of normal saline 0,9% were warmed to 39C, then stored in a rice flask in a room temperature of 25C and temperature changes were measured for 6 hours. Measurements were made using a digital thermometer, data were analyzed with the Mann Whitney test. The study was conducted on December 1, 2019, the results of the study decreased the average temperature of ringer^s lactate fluid 4,6C and normal saline 0,9% 4,3C. Test data with Mann Withney p-value of 0,000, there is a significant difference in temperature changes in ringer^s laktate fluid and nomal saline 0,9%. The results of the study were rice flasks were able to maintain the temperature of ringer lactate liquid 39C 96 minutes and normal saline 0,9% 78 minutes, while to prevent hypothermia (36C) ringer laktate fluid for 4 hours 59 minutes and normal saline 0,9% during 4 hours 55 minutes.

Keywords: Hemorrhagic shock, ringer^s laktate, normal saline 0,9%, thermos, temperature.

Topic: Disaster, Emergency, Intensive and Critical Care Nursing