Welcome to Scribd, the world's digital library. Read, publish, and share books and documents. See more ➡
Download
Standard view
Full view
of .
Add note
Save to My Library
Sync to mobile
Look up keyword
Like this
33Activity
×
0 of .
Results for:
No results containing your search query
P. 1
Format Pengkajian Keperawatan Gadar

Format Pengkajian Keperawatan Gadar

Ratings: (0)|Views: 2,871|Likes:
Published by Anisa Rooses

More info:

Published by: Anisa Rooses on Dec 25, 2010
Copyright:Attribution Non-commercial

Availability:

Read on Scribd mobile: iPhone, iPad and Android.
download as PDF, DOC, TXT or read online from Scribd
See More
See less

07/17/2013

pdf

text

original

 
PENGKAJIAN KEPERAWATANASUHAN KEPERAWATAN KRITISSTIKES HANG TUAH SURABAYA
 Nama mahasiswa:…………………………………………………………………………………..... NIM:.....Ruangan:.....Pengkajian diambil:………………………………………………………………………………….....Diagnosa medis:………………………………………………………………………………….....
A.IDENTITAS PASIEN
 Nama:.....Umur:.....Jenis kelamin:.................................................................................................................................Suku:.................................................................................................................................Agama:.................................................................................................................................Pendidikan:.................................................................................................................................Alamat:.................................................................................................................................
B.RIWAYAT KEPERAWATAN
Keluhan utama ......................................................................................................................................Riwayat penyakit sekarang (RPS)............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................Riwayat penyakit dahulu (RPD).............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................Riwayat kesehatan keluarga.............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................Genogram
C.PENGKAJIAN PERSISTEM
Keadaan umum.............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................Tanda-tanda vitalBP……………………………. mmHgHR……………………………. x/mnt, irama ………………… Pulsasi…………………
 
RR……………………………. x/mnt, irama ………………….t……………………………….°CBreath (B1)Pergerakan dadaO Simetris O AsimetrisPemakaian otot bantu napasO ada, Jenis : ……………O Tidak adaSuara napasO Vesikuler O rhonkiO wheezingLokasi……………………..BatukO Produktif O tidak produktiSputumO Coklat O kental O enceO berdarahAlat Bantu napasO Tidak ada O ada, jenisLain-lainBlood (B2)Suara jantungS1 S2 S3 S4 O Tunggal O gallopO murmur Irama jantungO regular O ireguleCRTO 2 detik O > 2 detiJVPO normal O meningkatCVPO Ada O tidak ada Nilai:………………………………….EdemaO Ada O tidak adaLokasiLain-lainBrain (B3)Tingkat kesadaranKualitatif :Kuantitatif (GCS):E…………….,V………….., M…………..Reaksi pupil- kanan- KiriO Ada, diameter:O tidak adaO Ada, diameter;O tidak adaReflek fisiologisO Ada O tidak adaReflek patologisO brudzinski O chaddoO babinski O ophenhaimO Hoffman trrommer O tidak adaMeningeal signO ada O tidak adaLain-lainBladder(B4)UrineJumlah: warna:KateterO ada, hari ke: O tidak adaJenis:…………………Kesulitan BAKO ya O tidaLain-lainBowel (B5)Mukosa bibirO Kering O anemis O lembabLidahO kotor O bersihKeadaan gigiO lengkap O gigi palsuLain:……………….. Nyeri telanO ya O tidaAbdomenO supel O flat O distensiPeristaltik ususO normal O menurun O meningkat Nilai:
 
MualO Ya O tidaMuntahO ya O tidaJumlah/frekuansi:HaematemesisO ya O tidaJumlah/frekuensi:MelenaO ya O tidaJumlah/frekuansi:Terpasang NGTO ya O tidaDiareO ya O tidaJumlah/frekuensi:KonstipasiO ya O tidaSejak:AscitesO ya O tidaLain-lainBone (B6)TurgorO baik O jelePerdarahan KulitO ada O tidak adaJenis:IkterusO ya O tidak adaAkralO hangat O kering O merahO dingin O pucat O basahPergerakan sendiO bebas O terbatasSkala:FrakturO ada O tidak adaJenis:Lokasi:LukaO ada O tidak adaJenis:Lokasi:Lain-lain

Activity (33)

You've already reviewed this. Edit your review.
1 hundred reads
1 thousand reads
nana_daely added this note|
Tambahkan komentar
Rheza Hakviasyah liked this
nana_daely liked this
NdHy_Windhy_3403 liked this

You're Reading a Free Preview

Download
/*********** DO NOT ALTER ANYTHING BELOW THIS LINE ! ************/ var s_code=s.t();if(s_code)document.write(s_code)//-->