PERBANDINGAN KADAR ION KALSIUM DARAH ARTERI DENGAN SERUM DI RUMAH SAKIT JANTUNG DAN PEMBULUH DARAH HARAPAN KITA JAKARTA

Heru Setiawan; Eka Dewi Zola

doi:10.59946/jfki.2022.144

PERBANDINGAN KADAR ION KALSIUM DARAH ARTERI DENGAN SERUM DI RUMAH SAKIT JANTUNG DAN PEMBULUH DARAH HARAPAN KITA JAKARTA

Heru Setiawan Poltekkes Kemenkes Jakarta III
Eka Dewi Zola

DOI: https://doi.org/10.59946/jfki.2022.144

Keywords: Calcium ion, arterial blood specimen, serum specimen.

Abstract

Penentuan kadar ion kalsium berguna secara klinis dalam diagnosis identifikasi hiperkalsemia pada neoplasia, dan penanganan pasien dewasa dan neonatus yang kritis atau pasein yang memiliki konsekuensi klinis yang serius. Hal ini merupakan tanggung jawab laboratorium klinik untuk memilih spesimen mana yang paling tepat, untuk setiap situasi klinis. International Federation of Clinical Chemistry (IFCC), merekomendasikan heparin sebagai antikoagulan pilihan untuk pengukuran ion kalsium. Menurut Clinical Laboratory Standards Institute (CLSI), pengukuran ion kalsium mengunakan spesimen darah utuh lebih baik (whole blood heparin), penggunaan plasma dan spesimen serum tetap menjadi solusi, meskipun tidak dianjurkan, untuk mengindari perubahan pH, spesimen harus tetap tertutup sampai di analis

Tujuan penelitian ini untuk mengetahui rata-rata kadar ion kalsium dari spesimen darah arteri dan spesimen serum, dan mengetahui apakah ada perbedaan yang bermakna kadar ion kalsium dari spesimen darah arteri dengan serum, memberikan masukan yang lebih baik pada pelayanan laboratorium terutama pada tahap pra analitik spesimen pemeriksaan rujukan ion kalsium di RSJPDHK.

Analisis kemaknaan diuji dengan uji t Test. Hasil uji dengan 2 kelompok independen (t Test) dengan spesimen masing-masing kelompok sebanyak 30 spesimen. Hasil uji T indepnden didapatkan nilai p = 0.007 (< a=0.05) sehingga keputusannya Ho ditolak, artinya ada perbedaan rata-rata kadar ion kalsium yang bermakna antara spesimen darah arteri dengan spesimen serum, pada derajat kemaknaan 95 %.

Simpulan hasil pemeriksaan ion kalsium dengan sampel darah arteri didapat nilai rata-rata 1.192 mmol/L, dengan nilai terendah 1.07 mmol/L dan nilai tertinggi 1.25 mmol/L. Hasil kadar ion kalsium pada spesimen serum didapat nilai rata-rata 1.23 mmol/L dengan nilai terendah 1.12 mmol/L dan nilai tertinggi 1.38 mmol/L. Ada perbedaan rata-rata kadar ion kalsium yang bermakna antara spesimen darah arteri dengan spesimen serum, pada derajat kemaknaan 95 %.

Katakunci: Ion kalsium, spesiemen darah arteri, spesimen serum.

References

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Chhapola, V., Kumar, S. and Goyal, P. (2014) ‘Is liquid heparin comparable to dry balanced heparin for blood gas sampling in intensive care unit?’, Indian Journal of Critical Care Medicine, 18(1), pp. 14–20. doi: 10.4103/0972-5229.125428.
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Handari, N. (2019) GAMBARAN PEMERIKSAAN ION KALSIUM DENGAN SAMPEL SERUM , PLASMA HEPARIN , DAN WHOLE BLOOD HEPARIN PRODI D III TEKNOLOGI LABORATORIUM MEDIS TAHUN 2019.
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Fisioterapi, Kesehatan, kebidanan, keperawatan

Published

2022-12-15

How to Cite

Setiawan, H., & Zola, E. (2022). PERBANDINGAN KADAR ION KALSIUM DARAH ARTERI DENGAN SERUM DI RUMAH SAKIT JANTUNG DAN PEMBULUH DARAH HARAPAN KITA JAKARTA. Jurnal Fisioterapi Dan Kesehatan Indonesia, 2(2), 22-27. https://doi.org/10.59946/jfki.2022.144

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Although authors are permitted to re-use all or portions of the article in other works, this does not include granting third-party requests for reprinting, republishing, or other types of re-use. Requests for all uses not included above, including the authorization of third parties to reproduce or otherwise use all or part of the article (including figures and tables), should be referred to RCEPM-LIPI by going to our website athttp://telimek.lipi.go.id.

3. Author Online Use

Personal Servers. Authors and/or their employers shall have the right to post the accepted version of articles pre-print version of the article, or revised personal version of the final text of the article (to reflect changes made in the peer review and editing process) on their own personal servers or the servers of their institutions or employers without permission from RCEPM-LIPI, provided that the posted version includes a prominently displayed RCEPM-LIPI copyright notice and, when published, a full citation to the original publication, including a link to the article abstract in the journal homepage. Authors shall not post the final, published versions of their papers;
Classroom or Internal Training Use. An author is expressly permitted to post any portion of the accepted version of his/her own articles on the author’s personal web site or the servers of the author’s institution or company in connection with the author’s teaching, training, or work responsibilities, provided that the appropriate copyright, credit, and reuse notices appear prominently with the posted material. Examples of permitted uses are lecture materials, course packs, e-reserves, conference presentations, or in-house training courses;
Electronic Preprints. Before submitting an article to an MEV Journal, authors frequently post their manuscripts to their own web site, their employer’s site, or to another server that invites constructive comment from colleagues. Upon submission of an article to MEV Journal, an author is required to transfer copyright in the article to RCEPM-LIPI, and the author must update any previously posted version of the article with a prominently displayed RCEPM-LIPI copyright notice. Upon publication of an article by the RCEPM-LIPI, the author must replace any previously posted electronic versions of the article with either (1) the full citation to the work with a Digital Object Identifier (DOI) or link to the article abstract in MEV journal homepage, or (2) the accepted version only (not the final, published version), including the RCEPM-LIPI copyright notice and full citation, with a link to the final, published article in journal homepage.

4. Articles in Press (AiP) service

RCEPM-LIPI may choose to publish an abstract or portions of the paper before we publish it in the journal. Please contact our Production department immediately if you do not want us to make any such prior publication for any reason, including disclosure of a patentable invention.

5. Author/Employer Rights

If you are employed and prepared the article on a subject within the scope of your employment, the copyright in the article belongs to your employer as a work-for-hire. In that case, RCEPM-LIPI assumes that when you sign this Form, you are authorized to do so by your employer and that your employer has consented to the transfer of copyright, to the representation and warranty of publication rights, and to all other terms and conditions of this Form. If such authorization and consent has not been given to you, an authorized representative of your employer should sign this Form as the Author.

6. RCEPM-LIPI Copyright Ownership

It is the formal policy of RCEPM-LIPI to own the copyrights to all copyrightable material in its technical publications and to the individual contributions contained therein, in order to protect the interests of the RCEPM-LIPI, its authors and their employers, and, at the same time, to facilitate the appropriate re-use of this material by others. RCEPM-LIPI distributes its technical publications throughout the world and does so by various means such as hard copy, microfiche, microfilm, and electronic media. It also abstracts and may translate its publications, and articles contained therein, for inclusion in various compendiums, collective works, databases and similar publications

Every accepted manuscript should be accompanied by "Copyright Transfer Agreement" prior to the article publication.